- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,489.30 / $57,666.20 / $75,793.20
| Facility | | $39,489.30 | $57,666.20 | $75,793.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,118.42 / $41,173.16 / $69,638.85
| Facility | | $15,118.42 | $41,173.16 | $69,638.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,564.33 / $58,189.36 / $103,793.39
| Facility | | $41,564.33 | $58,189.36 | $103,793.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,672.20 / $64,642.19 / $94,382.87
| Facility | | $49,672.20 | $64,642.19 | $94,382.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,672.20 / $60,093.53 / $94,382.87
| Facility | | $49,672.20 | $60,093.53 | $94,382.87 |