- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,762.80 / $46,320.80 / $75,193.10
| Facility | | $31,762.80 | $46,320.80 | $75,193.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,158.59 / $123,908.95 / $158,857.63
| Facility | | $87,158.59 | $123,908.95 | $158,857.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,296.99 / $64,891.40 / $86,389.52
| Facility | | $37,296.99 | $64,891.40 | $86,389.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,139.19 / $49,814.70 / $79,655.80
| Facility | | $33,139.19 | $49,814.70 | $79,655.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,752.01 / $66,273.08 / $100,688.08
| Facility | | $39,752.01 | $66,273.08 | $100,688.08 |