- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,350.90 / $41,665.90 / $64,328.50
| Facility | | $28,350.90 | $41,665.90 | $64,328.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,898.15 / $60,986.13 / $78,187.35
| Facility | | $42,898.15 | $60,986.13 | $78,187.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,907.96 / $55,515.26 / $73,907.12
| Facility | | $31,907.96 | $55,515.26 | $73,907.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,350.90 / $42,616.90 / $68,146.39
| Facility | | $28,350.90 | $42,616.90 | $68,146.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,156.08 / $56,697.30 / $86,139.68
| Facility | | $33,156.08 | $56,697.30 | $86,139.68 |