- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,029.80 / $49,175.40 / $81,642.80
| Facility | | $31,029.80 | $49,175.40 | $81,642.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,541.23 / $42,756.45 / $72,430.30
| Facility | | $28,541.23 | $42,756.45 | $72,430.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,387.66 / $52,451.26 / $75,418.50
| Facility | | $42,387.66 | $52,451.26 | $75,418.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,342.38 / $50,385.42 / $127,625.07
| Facility | | $25,342.38 | $50,385.42 | $127,625.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,342.38 / $50,275.80 / $70,660.16
| Facility | | $25,342.38 | $50,275.80 | $70,660.16 |