- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,113.20 / $39,160.90 / $49,899.60
| Facility | | $25,113.20 | $39,160.90 | $49,899.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,789.10 / $29,789.10 / $29,789.10
| Facility | | $29,789.10 | $29,789.10 | $29,789.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,453.64 / $40,115.37 / $47,250.72
| Facility | | $22,453.64 | $40,115.37 | $47,250.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,374.98 / $40,683.35 / $56,994.39
| Facility | | $21,374.98 | $40,683.35 | $56,994.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,659.68 / $44,379.88 / $56,994.39
| Facility | | $38,659.68 | $44,379.88 | $56,994.39 |