- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $41,686.94 / $89,125.09
| Facility | | $15,848.93 | $41,686.94 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $51,286.14
| Facility | | $50,118.72 | $50,118.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $50,118.72 / $79,432.82
| Facility | | $32,359.37 | $50,118.72 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $45,708.82 / $79,432.82
| Facility | | $26,915.35 | $45,708.82 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $70,794.58
| Facility | | $23,988.33 | $33,113.11 | $70,794.58 |