- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,576.20 / $39,724.69 / $55,802.60
| Facility | | $27,576.20 | $39,724.69 | $55,802.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,143.72 / $35,267.33 / $52,840.46
| Facility | | $22,143.72 | $35,267.33 | $52,840.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,590.00 / $33,972.35 / $63,259.97
| Facility | | $24,590.00 | $33,972.35 | $63,259.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.21 / $363.53 / $595.22
| Facility | | $191.21 | $363.53 | $595.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,095.71 / $38,883.37 / $63,992.95
| Facility | | $28,095.71 | $38,883.37 | $63,992.95 |