- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $73,120.39 / $119,418.00
| Facility | | $6,303.00 | $73,120.39 | $119,418.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,101.84 / $132,824.00 / $178,221.14
| Facility | | $94,101.84 | $132,824.00 | $178,221.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,126.44 / $108,661.63 / $152,325.76
| Facility | | $79,126.44 | $108,661.63 | $152,325.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,886.72 / $120,680.92 / $152,139.19
| Facility | | $68,886.72 | $120,680.92 | $152,139.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,886.72 / $121,685.52 / $159,566.04
| Facility | | $68,886.72 | $121,685.52 | $159,566.04 |