- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,271.60 / $32,571.70 / $66,194.30
| Facility | | $25,271.60 | $32,571.70 | $66,194.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,777.31 / $34,777.31 / $34,777.31
| Facility | | $34,777.31 | $34,777.31 | $34,777.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,752.73 / $31,028.07 / $35,473.10
| Facility | | $24,752.73 | $31,028.07 | $35,473.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,172.15 / $35,706.83 / $46,438.27
| Facility | | $20,172.15 | $35,706.83 | $46,438.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $30,981.18 / $45,613.04
| Facility | | $1,518.00 | $30,981.18 | $45,613.04 |