- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,525.50 / $46,905.80 / $72,871.00
| Facility | | $34,525.50 | $46,905.80 | $72,871.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,697.60 / $41,641.35 / $62,390.54
| Facility | | $25,697.60 | $41,641.35 | $62,390.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,953.48 / $40,147.44 / $75,260.00
| Facility | | $29,953.48 | $40,147.44 | $75,260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.78 / $429.25 / $746.77
| Facility | | $225.78 | $429.25 | $746.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,174.61 / $45,912.36 / $75,561.03
| Facility | | $33,174.61 | $45,912.36 | $75,561.03 |