- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,146.50 / $37,407.19 / $56,956.50
| Facility | | $28,146.50 | $37,407.19 | $56,956.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,602.29 / $35,997.69 / $53,934.74
| Facility | | $22,602.29 | $35,997.69 | $53,934.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,035.41 / $36,147.00 / $65,056.00
| Facility | | $26,035.41 | $36,147.00 | $65,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.17 / $381.20 / $647.63
| Facility | | $195.17 | $381.20 | $647.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,198.50 / $38,929.51 / $62,915.66
| Facility | | $21,198.50 | $38,929.51 | $62,915.66 |