- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,679.10 / $37,604.40 / $52,824.20
| Facility | | $27,679.10 | $37,604.40 | $52,824.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,656.00 / $33,386.12 / $47,520.76
| Facility | | $19,656.00 | $33,386.12 | $47,520.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,256.51 / $32,159.09 / $59,883.48
| Facility | | $23,256.51 | $32,159.09 | $59,883.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.01 / $344.13 / $563.45
| Facility | | $181.01 | $344.13 | $563.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,596.11 / $36,807.98 / $60,577.34
| Facility | | $26,596.11 | $36,807.98 | $60,577.34 |