- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $50,118.72 / $95,499.26
| Facility | | $33,113.11 | $50,118.72 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $44,668.36 / $72,443.60
| Facility | | $28,840.32 | $44,668.36 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $42,657.95 / $77,624.71
| Facility | | $22,908.68 | $42,657.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $52,480.75 / $69,183.10
| Facility | | $33,113.11 | $52,480.75 | $69,183.10 |