- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,554.10 / $49,661.80 / $69,577.00
| Facility | | $36,554.10 | $49,661.80 | $69,577.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,364.71 / $44,086.94 / $66,054.72
| Facility | | $26,364.71 | $44,086.94 | $66,054.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,888.74 / $44,024.31 / $79,682.00
| Facility | | $31,888.74 | $44,024.31 | $79,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.05 / $454.47 / $744.11
| Facility | | $239.05 | $454.47 | $744.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,327.00 / $48,546.26 / $77,060.46
| Facility | | $33,327.00 | $48,546.26 | $77,060.46 |