- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $47,251.00 / $77,169.00
| Facility | | $6,303.00 | $47,251.00 | $77,169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,809.43 / $85,832.03 / $115,168.06
| Facility | | $60,809.43 | $85,832.03 | $115,168.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,132.20 / $70,218.09 / $98,434.24
| Facility | | $51,132.20 | $70,218.09 | $98,434.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,515.20 / $77,985.07 / $98,313.67
| Facility | | $44,515.20 | $77,985.07 | $98,313.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,515.20 / $78,634.25 / $103,112.97
| Facility | | $44,515.20 | $78,634.25 | $103,112.97 |