- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,580.10 / $29,102.60 / $59,144.30
| Facility | | $22,580.10 | $29,102.60 | $59,144.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,153.21 / $48,153.21 / $48,153.21
| Facility | | $48,153.21 | $48,153.21 | $48,153.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,077.06 / $26,420.54 / $30,205.51
| Facility | | $21,077.06 | $26,420.54 | $30,205.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,023.72 / $31,903.88 / $41,492.37
| Facility | | $18,023.72 | $31,903.88 | $41,492.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,376.19 / $55,376.19 / $55,376.19
| Facility | | $55,376.19 | $55,376.19 | $55,376.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $28,989.20 / $40,755.03
| Facility | | $1,518.00 | $28,989.20 | $40,755.03 |