- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,549.20 / $42,294.80 / $57,758.20
| Facility | | $31,549.20 | $42,294.80 | $57,758.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,634.00 / $38,055.97 / $57,018.62
| Facility | | $23,634.00 | $38,055.97 | $57,018.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,522.55 / $37,996.53 / $68,772.00
| Facility | | $27,522.55 | $37,996.53 | $68,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.32 / $392.24 / $642.23
| Facility | | $206.32 | $392.24 | $642.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,726.97 / $41,153.16 / $66,509.39
| Facility | | $24,726.97 | $41,153.16 | $66,509.39 |