- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,455.40 / $40,017.60 / $53,925.10
| Facility | | $29,455.40 | $40,017.60 | $53,925.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,770.69 / $35,521.86 / $52,084.15
| Facility | | $21,770.69 | $35,521.86 | $52,084.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,696.04 / $35,314.40 / $64,208.00
| Facility | | $25,696.04 | $35,314.40 | $64,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.62 / $366.21 / $599.61
| Facility | | $192.62 | $366.21 | $599.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,302.89 / $39,170.08 / $64,464.83
| Facility | | $28,302.89 | $39,170.08 | $64,464.83 |