- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,193.40 / $46,454.60 / $73,145.89
| Facility | | $34,193.40 | $46,454.60 | $73,145.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,451.75 / $41,242.98 / $61,793.66
| Facility | | $25,451.75 | $41,242.98 | $61,793.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,829.31 / $41,448.00 / $74,536.00
| Facility | | $29,829.31 | $41,448.00 | $74,536.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.61 / $425.12 / $696.05
| Facility | | $223.61 | $425.12 | $696.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,855.47 / $45,470.69 / $74,834.14
| Facility | | $32,855.47 | $45,470.69 | $74,834.14 |