- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $105,064.00 / $171,587.00
| Facility | | $6,303.00 | $105,064.00 | $171,587.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135,211.48 / $190,849.93 / $256,079.41
| Facility | | $135,211.48 | $190,849.93 | $256,079.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,693.88 / $156,131.90 / $218,871.29
| Facility | | $113,693.88 | $156,131.90 | $218,871.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,980.80 / $173,401.99 / $218,603.22
| Facility | | $98,980.80 | $173,401.99 | $218,603.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,980.80 / $174,845.46 / $229,274.59
| Facility | | $98,980.80 | $174,845.46 | $229,274.59 |