- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,101.50 / $42,836.20 / $64,856.60
| Facility | | $29,101.50 | $42,836.20 | $64,856.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,366.84 / $42,725.82 / $64,015.38
| Facility | | $26,366.84 | $42,725.82 | $64,015.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,905.04 / $42,666.26 / $77,224.00
| Facility | | $30,905.04 | $42,666.26 | $77,224.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.67 / $440.45 / $721.16
| Facility | | $231.67 | $440.45 | $721.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,298.94 / $47,048.72 / $74,683.33
| Facility | | $32,298.94 | $47,048.72 | $74,683.33 |