- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,530.20 / $43,064.90 / $69,907.80
| Facility | | $29,530.20 | $43,064.90 | $69,907.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,655.60 / $59,177.12 / $75,908.61
| Facility | | $41,655.60 | $59,177.12 | $75,908.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,675.39 / $60,330.20 / $80,317.22
| Facility | | $34,675.39 | $60,330.20 | $80,317.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,809.80 / $46,313.20 / $74,056.80
| Facility | | $30,809.80 | $46,313.20 | $74,056.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,031.76 / $61,614.76 / $93,610.73
| Facility | | $36,031.76 | $61,614.76 | $93,610.73 |