- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,870.10 / $51,208.30 / $68,717.50
| Facility | | $30,870.10 | $51,208.30 | $68,717.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,131.50 / $31,172.43 / $41,723.80
| Facility | | $27,131.50 | $31,172.43 | $41,723.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,098.85 / $41,904.85 / $67,049.37
| Facility | | $23,098.85 | $41,904.85 | $67,049.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,348.51 / $41,230.50 / $94,558.03
| Facility | | $25,348.51 | $41,230.50 | $94,558.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,095.52 / $40,021.07 / $57,535.79
| Facility | | $30,095.52 | $40,021.07 | $57,535.79 |