- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,681.70 / $36,134.19 / $52,777.90
| Facility | | $23,681.70 | $36,134.19 | $52,777.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,732.26 / $34,769.37 / $52,094.36
| Facility | | $21,732.26 | $34,769.37 | $52,094.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,149.37 / $34,720.21 / $62,842.00
| Facility | | $25,149.37 | $34,720.21 | $62,842.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $188.53 / $368.22 / $625.59
| Facility | | $188.53 | $368.22 | $625.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,700.00 / $37,604.65 / $60,774.50
| Facility | | $21,700.00 | $37,604.65 | $60,774.50 |