- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,330.50 / $60,266.20 / $80,872.50
| Facility | | $36,330.50 | $60,266.20 | $80,872.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,660.60 / $45,660.60 / $45,660.60
| Facility | | $45,660.60 | $45,660.60 | $45,660.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,927.41 / $49,793.04 / $79,670.78
| Facility | | $28,927.41 | $49,793.04 | $79,670.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,832.25 / $48,523.50 / $111,283.79
| Facility | | $29,832.25 | $48,523.50 | $111,283.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,208.65 / $47,798.88 / $67,712.92
| Facility | | $35,208.65 | $47,798.88 | $67,712.92 |