- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $54,954.09 / $102,329.30
| Facility | | $33,884.42 | $54,954.09 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $51,286.14
| Facility | | $46,773.51 | $46,773.51 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $46,773.51 / $74,131.02
| Facility | | $30,199.52 | $46,773.51 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $50,118.72 / $93,325.43
| Facility | | $26,302.68 | $50,118.72 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $52,480.75 / $70,794.58
| Facility | | $26,302.68 | $52,480.75 | $70,794.58 |