- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $30,902.95 / $50,118.72
| Facility | | $17,782.79 | $30,902.95 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $56,234.13 / $74,131.02
| Facility | | $37,153.52 | $56,234.13 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $45,708.82 / $63,095.73
| Facility | | $36,307.81 | $45,708.82 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $45,708.82 / $60,255.96
| Facility | | $27,542.29 | $45,708.82 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $45,708.82 / $63,095.73
| Facility | | $27,542.29 | $45,708.82 | $63,095.73 |