- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,890.50 / $29,232.10 / $45,131.80
| Facility | | $19,890.50 | $29,232.10 | $45,131.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,319.66 / $80,066.81 / $102,649.75
| Facility | | $56,319.66 | $80,066.81 | $102,649.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,386.09 / $42,559.57 / $51,851.99
| Facility | | $22,386.09 | $42,559.57 | $51,851.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,890.50 / $29,899.30 / $47,810.30
| Facility | | $19,890.50 | $29,899.30 | $47,810.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,261.75 / $39,777.87 / $60,434.15
| Facility | | $23,261.75 | $39,777.87 | $60,434.15 |