- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $37,153.52 / $44,668.36
| Facility | | $30,902.95 | $37,153.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $33,113.11 / $53,703.18
| Facility | | $32,359.37 | $33,113.11 | $53,703.18 |
- 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
- $29,512.09 / $38,018.94 / $58,884.37
| Facility | | $29,512.09 | $38,018.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $48,977.88 / $48,977.88
| Facility | | $24,547.09 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $42,657.95 / $63,095.73
| Facility | | $30,902.95 | $42,657.95 | $63,095.73 |