- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,873.60 / $39,494.69 / $60,976.40
| Facility | | $26,873.60 | $39,494.69 | $60,976.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,002.24 / $73,928.95 / $94,780.70
| Facility | | $52,002.24 | $73,928.95 | $94,780.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,245.24 / $57,092.18 / $73,601.77
| Facility | | $30,245.24 | $57,092.18 | $73,601.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,873.60 / $40,396.19 / $64,595.30
| Facility | | $26,873.60 | $40,396.19 | $64,595.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,428.32 / $53,742.82 / $81,650.96
| Facility | | $31,428.32 | $53,742.82 | $81,650.96 |