- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $31,622.78 / $38,018.94
| Facility | | $25,703.96 | $31,622.78 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $28,183.83 / $45,708.82
| Facility | | $27,542.29 | $28,183.83 | $45,708.82 |
- 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
- $24,547.09 / $32,359.37 / $50,118.72
| Facility | | $24,547.09 | $32,359.37 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $43,651.58 / $43,651.58
| Facility | | $19,498.45 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $35,481.34 / $53,703.18
| Facility | | $25,703.96 | $35,481.34 | $53,703.18 |