- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $79,432.82 / $85,113.80
| Facility | | $46,773.51 | $79,432.82 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $79,432.82 / $109,647.82
| Facility | | $52,480.75 | $79,432.82 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $63,095.73 / $95,499.26
| Facility | | $34,673.69 | $63,095.73 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $60,255.96 / $85,113.80
| Facility | | $20,892.96 | $60,255.96 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $63,095.73 / $112,201.85
| Facility | | $4,073.80 | $63,095.73 | $112,201.85 |