- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,276.60 / $28,627.80 / $59,903.80
| Facility | | $28,276.60 | $28,627.80 | $59,903.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,810.69 / $52,002.70 / $69,776.39
| Facility | | $37,810.69 | $52,002.70 | $69,776.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,979.25 / $42,542.74 / $59,637.94
| Facility | | $30,979.25 | $42,542.74 | $59,637.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,970.24 / $47,248.49 / $59,564.90
| Facility | | $26,970.24 | $47,248.49 | $59,564.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,970.24 / $47,641.81 / $62,472.63
| Facility | | $26,970.24 | $47,641.81 | $62,472.63 |