- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $60,255.96 / $69,183.10
| Facility | | $43,651.58 | $60,255.96 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $57,543.99
| Facility | | $46,773.51 | $46,773.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $56,234.13 / $70,794.58
| Facility | | $30,199.52 | $56,234.13 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $107,151.93
| Facility | | $28,840.32 | $43,651.58 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $42,657.95 / $63,095.73
| Facility | | $26,302.68 | $42,657.95 | $63,095.73 |