- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,735.70 / $54,893.50 / $91,042.60
| Facility | | $42,735.70 | $54,893.50 | $91,042.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,269.52 / $49,053.92 / $91,901.81
| Facility | | $32,269.52 | $49,053.92 | $91,901.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,664.89 / $67,664.89 / $67,664.89
| Facility | | $67,664.89 | $67,664.89 | $67,664.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,260.12 / $56,186.43 / $143,287.03
| Facility | | $28,260.12 | $56,186.43 | $143,287.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,260.12 / $56,064.20 / $78,795.46
| Facility | | $28,260.12 | $56,064.20 | $78,795.46 |