- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,265.80 / $45,194.40 / $67,291.00
| Facility | | $33,265.80 | $45,194.40 | $67,291.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,995.59 / $40,125.31 / $59,057.60
| Facility | | $23,995.59 | $40,125.31 | $59,057.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,950.52 / $38,649.96 / $71,970.14
| Facility | | $27,950.52 | $38,649.96 | $71,970.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.54 / $413.58 / $677.17
| Facility | | $217.54 | $413.58 | $677.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,328.98 / $44,179.15 / $70,128.28
| Facility | | $30,328.98 | $44,179.15 | $70,128.28 |