- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $57,543.99
| Facility | | $27,542.29 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $36,307.81 / $52,480.75
| Facility | | $22,908.68 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $63,095.73
| Facility | | $24,547.09 | $34,673.69 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $398.11 / $602.56
| Facility | | $181.97 | $398.11 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,904.51 / $58,884.37
| Facility | | $25,118.86 | $38,904.51 | $58,884.37 |