- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,662.50 / $52,526.30 / $76,002.00
| Facility | | $38,662.50 | $52,526.30 | $76,002.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,777.49 / $46,632.12 / $69,868.12
| Facility | | $28,777.49 | $46,632.12 | $69,868.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,728.06 / $47,309.46 / $84,278.00
| Facility | | $33,728.06 | $47,309.46 | $84,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.83 / $480.68 / $836.25
| Facility | | $252.83 | $480.68 | $836.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,149.74 / $51,413.79 / $84,615.11
| Facility | | $37,149.74 | $51,413.79 | $84,615.11 |