- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $38,018.94 / $45,708.82
| Facility | | $31,622.78 | $38,018.94 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $34,673.69 / $54,954.09
| Facility | | $33,884.42 | $34,673.69 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $38,904.51 / $61,659.50
| Facility | | $30,199.52 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $47,863.01 / $47,863.01
| Facility | | $20,417.38 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $43,651.58 / $66,069.34
| Facility | | $31,622.78 | $43,651.58 | $66,069.34 |