- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $45,708.82 / $54,954.09
| Facility | | $38,018.94 | $45,708.82 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $40,738.03 / $66,069.34
| Facility | | $39,810.72 | $40,738.03 | $66,069.34 |
- 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
- $36,307.81 / $46,773.51 / $72,443.60
| Facility | | $36,307.81 | $46,773.51 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $60,255.96 / $60,255.96
| Facility | | $28,183.83 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $52,480.75 / $77,624.71
| Facility | | $37,153.52 | $52,480.75 | $77,624.71 |