- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,375.60 / $53,047.80 / $86,113.20
| Facility | | $36,375.60 | $53,047.80 | $86,113.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,025.85 / $126,495.99 / $162,260.94
| Facility | | $89,025.85 | $126,495.99 | $162,260.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,559.57 / $74,315.35 / $98,935.57
| Facility | | $42,559.57 | $74,315.35 | $98,935.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,951.90 / $57,049.10 / $91,223.90
| Facility | | $37,951.90 | $57,049.10 | $91,223.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,384.29 / $75,897.69 / $115,310.65
| Facility | | $44,384.29 | $75,897.69 | $115,310.65 |