- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,890.80 / $39,215.80 / $63,659.50
| Facility | | $26,890.80 | $39,215.80 | $63,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,377.53 / $55,377.53 / $55,377.53
| Facility | | $55,377.53 | $55,377.53 | $55,377.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,097.04 / $66,955.48 / $85,840.36
| Facility | | $47,097.04 | $66,955.48 | $85,840.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,576.12 / $54,937.90 / $73,138.49
| Facility | | $31,576.12 | $54,937.90 | $73,138.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,056.10 / $42,173.70 / $67,437.60
| Facility | | $28,056.10 | $42,173.70 | $67,437.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,811.26 / $56,107.65 / $85,243.84
| Facility | | $32,811.26 | $56,107.65 | $85,243.84 |