- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $39,810.72 / $47,863.01
| Facility | | $33,113.11 | $39,810.72 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $35,481.34 / $57,543.99
| Facility | | $34,673.69 | $35,481.34 | $57,543.99 |
- 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
- $31,622.78 / $40,738.03 / $63,095.73
| Facility | | $31,622.78 | $40,738.03 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $53,703.18 / $53,703.18
| Facility | | $25,118.86 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $45,708.82 / $67,608.30
| Facility | | $33,113.11 | $45,708.82 | $67,608.30 |