- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,750.50 / $60,572.00 / $80,133.10
| Facility | | $41,750.50 | $60,572.00 | $80,133.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,801.50 / $72,063.23 / $118,847.53
| Facility | | $25,801.50 | $72,063.23 | $118,847.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,944.31 / $61,521.29 / $109,736.61
| Facility | | $43,944.31 | $61,521.29 | $109,736.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,516.43 / $68,343.61 / $99,787.23
| Facility | | $52,516.43 | $68,343.61 | $99,787.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,516.43 / $63,534.49 / $99,787.23
| Facility | | $52,516.43 | $63,534.49 | $99,787.23 |