- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.50 / $40,208.50 / $52,847.80
| Facility | | $27,534.50 | $40,208.50 | $52,847.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,839.75 / $29,520.71 / $49,930.31
| Facility | | $10,839.75 | $29,520.71 | $49,930.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,971.24 / $40,387.19 / $67,599.03
| Facility | | $27,971.24 | $40,387.19 | $67,599.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,634.61 / $45,072.64 / $65,809.72
| Facility | | $34,634.61 | $45,072.64 | $65,809.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,653.71 / $43,372.67 / $62,518.99
| Facility | | $28,653.71 | $43,372.67 | $62,518.99 |