- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,018.94 / $45,708.82
| Facility | | $30,902.95 | $38,018.94 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,884.42 / $54,954.09
| Facility | | $33,113.11 | $33,884.42 | $54,954.09 |
- 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 / $60,255.96
| Facility | | $29,512.09 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $48,977.88 / $48,977.88
| Facility | | $23,988.33 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $42,657.95 / $64,565.42
| Facility | | $30,902.95 | $42,657.95 | $64,565.42 |