- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.20 / $33,955.80 / $48,536.00
| Facility | | $25,432.20 | $33,955.80 | $48,536.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,331.41 / $30,680.49 / $45,959.76
| Facility | | $19,331.41 | $30,680.49 | $45,959.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,368.58 / $29,548.45 / $55,022.22
| Facility | | $21,368.58 | $29,548.45 | $55,022.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.31 / $316.19 / $517.71
| Facility | | $166.31 | $316.19 | $517.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,186.94 / $33,775.60 / $53,614.09
| Facility | | $23,186.94 | $33,775.60 | $53,614.09 |