- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,260.10 / $42,469.50 / $60,143.00
| Facility | | $31,260.10 | $42,469.50 | $60,143.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,634.00 / $37,701.86 / $56,488.06
| Facility | | $23,634.00 | $37,701.86 | $56,488.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,270.43 / $38,251.51 / $68,142.00
| Facility | | $27,270.43 | $38,251.51 | $68,142.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.43 / $388.65 / $636.34
| Facility | | $204.43 | $388.65 | $636.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,036.99 / $41,570.03 / $68,414.57
| Facility | | $30,036.99 | $41,570.03 | $68,414.57 |