- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $39,122.50 / $63,893.60
| Facility | | $6,303.00 | $39,122.50 | $63,893.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,671.76 / $71,066.39 / $95,355.77
| Facility | | $51,671.76 | $71,066.39 | $95,355.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,335.96 / $58,138.52 / $81,500.66
| Facility | | $42,335.96 | $58,138.52 | $81,500.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,857.28 / $64,569.35 / $81,400.84
| Facility | | $36,857.28 | $64,569.35 | $81,400.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,857.28 / $65,106.85 / $85,374.51
| Facility | | $36,857.28 | $65,106.85 | $85,374.51 |