- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,533.50 / $48,705.70 / $79,167.20
| Facility | | $28,533.50 | $48,705.70 | $79,167.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,452.41 / $34,063.43 / $49,704.80
| Facility | | $22,452.41 | $34,063.43 | $49,704.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,467.34 / $38,699.06 / $61,051.51
| Facility | | $24,467.34 | $38,699.06 | $61,051.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,851.32 / $28,854.53 / $61,572.64
| Facility | | $14,851.32 | $28,854.53 | $61,572.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,355.94 / $44,038.88 / $58,625.81
| Facility | | $28,355.94 | $44,038.88 | $58,625.81 |