- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,113.11 / $39,810.72
| Facility | | $27,542.29 | $33,113.11 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $30,199.52 / $47,863.01
| Facility | | $29,512.09 | $30,199.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,884.42 / $53,703.18
| Facility | | $26,302.68 | $33,884.42 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $46,773.51 / $46,773.51
| Facility | | $21,877.62 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,018.94 / $56,234.13
| Facility | | $27,542.29 | $38,018.94 | $56,234.13 |