- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,051.60 / $38,110.50 / $53,535.10
| Facility | | $28,051.60 | $38,110.50 | $53,535.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,656.00 / $33,828.76 / $48,150.80
| Facility | | $19,656.00 | $33,828.76 | $48,150.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,336.90 / $33,784.26 / $61,148.00
| Facility | | $24,336.90 | $33,784.26 | $61,148.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.44 / $348.76 / $571.03
| Facility | | $183.44 | $348.76 | $571.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,601.74 / $35,604.51 / $58,026.39
| Facility | | $24,601.74 | $35,604.51 | $58,026.39 |