- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,754.20 / $44,910.30 / $59,027.60
| Facility | | $30,754.20 | $44,910.30 | $59,027.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,484.25 / $37,021.67 / $62,111.49
| Facility | | $13,484.25 | $37,021.67 | $62,111.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,985.76 / $43,094.73 / $75,503.78
| Facility | | $28,985.76 | $43,094.73 | $75,503.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,684.64 / $50,343.25 / $73,505.24
| Facility | | $38,684.64 | $50,343.25 | $73,505.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,684.64 / $46,800.76 / $73,505.24
| Facility | | $38,684.64 | $46,800.76 | $73,505.24 |