- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $46,773.51 / $61,659.50
| Facility | | $28,840.32 | $46,773.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $67,608.30 / $83,176.38
| Facility | | $46,773.51 | $67,608.30 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $58,884.37
| Facility | | $30,199.52 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,904.51 / $58,884.37
| Facility | | $23,988.33 | $38,904.51 | $58,884.37 |