- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $56,234.13
| Facility | | $26,915.35 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,113.11 / $47,863.01
| Facility | | $19,498.45 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $32,359.37 / $57,543.99
| Facility | | $22,908.68 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $363.08 / $549.54
| Facility | | $181.97 | $363.08 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $35,481.34 / $52,480.75
| Facility | | $22,908.68 | $35,481.34 | $52,480.75 |