- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $57,110.90 / $93,271.80
| Facility | | $6,303.00 | $57,110.90 | $93,271.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,498.50 / $103,742.55 / $139,200.10
| Facility | | $73,498.50 | $103,742.55 | $139,200.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,801.92 / $84,870.46 / $118,974.45
| Facility | | $61,801.92 | $84,870.46 | $118,974.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,804.16 / $94,258.16 / $118,828.73
| Facility | | $53,804.16 | $94,258.16 | $118,828.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,804.16 / $95,042.81 / $124,629.49
| Facility | | $53,804.16 | $95,042.81 | $124,629.49 |