- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,241.40 / $49,935.40 / $81,060.80
| Facility | | $34,241.40 | $49,935.40 | $81,060.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,351.90 / $90,064.19 / $115,466.91
| Facility | | $63,351.90 | $90,064.19 | $115,466.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,207.44 / $69,955.17 / $93,130.90
| Facility | | $40,207.44 | $69,955.17 | $93,130.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,725.19 / $53,701.90 / $85,871.70
| Facility | | $35,725.19 | $53,701.90 | $85,871.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,780.21 / $71,444.67 / $108,545.24
| Facility | | $41,780.21 | $71,444.67 | $108,545.24 |