- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,152.60 / $39,606.30 / $62,362.80
| Facility | | $29,152.60 | $39,606.30 | $62,362.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,074.24 / $35,331.41 / $52,817.62
| Facility | | $22,074.24 | $35,331.41 | $52,817.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,431.91 / $35,672.67 / $69,902.80
| Facility | | $25,431.91 | $35,672.67 | $69,902.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.51 / $350.78 / $610.25
| Facility | | $184.51 | $350.78 | $610.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,011.96 / $38,716.62 / $61,457.27
| Facility | | $28,011.96 | $38,716.62 | $61,457.27 |