- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,175.90 / $43,787.60 / $70,156.70
| Facility | | $30,175.90 | $43,787.60 | $70,156.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,413.74 / $39,560.94 / $59,434.37
| Facility | | $24,413.74 | $39,560.94 | $59,434.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,610.30 / $40,130.91 / $78,639.00
| Facility | | $28,610.30 | $40,130.91 | $78,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.47 / $407.74 / $667.61
| Facility | | $214.47 | $407.74 | $667.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,512.79 / $43,612.47 / $71,775.96
| Facility | | $31,512.79 | $43,612.47 | $71,775.96 |