- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $41,686.94 / $50,118.72
| Facility | | $34,673.69 | $41,686.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $38,018.94 / $60,255.96
| Facility | | $37,153.52 | $38,018.94 | $60,255.96 |
- 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
- $33,113.11 / $42,657.95 / $67,608.30
| Facility | | $33,113.11 | $42,657.95 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $57,543.99 / $57,543.99
| Facility | | $26,915.35 | $57,543.99 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $47,863.01 / $70,794.58
| Facility | | $34,673.69 | $47,863.01 | $70,794.58 |