- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,003.80 / $40,893.80 / $53,748.60
| Facility | | $28,003.80 | $40,893.80 | $53,748.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,245.65 / $48,245.65 / $48,245.65
| Facility | | $48,245.65 | $48,245.65 | $48,245.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,541.52 / $45,048.79 / $76,193.96
| Facility | | $16,541.52 | $45,048.79 | $76,193.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,475.27 / $41,264.87 / $74,929.99
| Facility | | $29,475.27 | $41,264.87 | $74,929.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,224.94 / $45,840.89 / $66,931.42
| Facility | | $35,224.94 | $45,840.89 | $66,931.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,224.94 / $42,615.22 / $66,931.42
| Facility | | $35,224.94 | $42,615.22 | $66,931.42 |