- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $51,286.14 / $67,608.30
| Facility | | $29,512.09 | $51,286.14 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $51,286.14 / $67,608.30
| Facility | | $24,547.09 | $51,286.14 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $66,069.34 / $66,069.34
| Facility | | $66,069.34 | $66,069.34 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $50,118.72 / $66,069.34
| Facility | | $30,902.95 | $50,118.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $21,379.62 / $58,884.37
| Facility | | $6,606.93 | $21,379.62 | $58,884.37 |