- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,776.19 / $47,798.60 / $77,592.20
| Facility | | $32,776.19 | $47,798.60 | $77,592.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,008.08 / $92,418.69 / $118,485.50
| Facility | | $65,008.08 | $92,418.69 | $118,485.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,486.96 / $66,961.78 / $89,145.80
| Facility | | $38,486.96 | $66,961.78 | $89,145.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,196.50 / $51,404.00 / $82,197.20
| Facility | | $34,196.50 | $51,404.00 | $82,197.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,080.81 / $68,387.53 / $103,900.55
| Facility | | $37,080.81 | $68,387.53 | $103,900.55 |