- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $44,668.36
| Facility | | $30,199.52 | $37,153.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $33,113.11 / $53,703.18
| Facility | | $32,359.37 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $38,018.94 / $58,884.37
| Facility | | $28,840.32 | $38,018.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $61,659.50 / $61,659.50
| Facility | | $26,302.68 | $61,659.50 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $42,657.95 / $63,095.73
| Facility | | $30,199.52 | $42,657.95 | $63,095.73 |