- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,940.50 / $36,653.69 / $56,590.20
| Facility | | $24,940.50 | $36,653.69 | $56,590.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,511.12 / $56,170.95 / $72,014.03
| Facility | | $39,511.12 | $56,170.95 | $72,014.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,069.62 / $48,837.10 / $65,016.53
| Facility | | $28,069.62 | $48,837.10 | $65,016.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,940.50 / $37,490.40 / $59,948.80
| Facility | | $24,940.50 | $37,490.40 | $59,948.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,167.60 / $49,876.95 / $75,777.58
| Facility | | $29,167.60 | $49,876.95 | $75,777.58 |