- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $55,577.30 / $90,767.10
| Facility | | $6,303.00 | $55,577.30 | $90,767.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,404.77 / $100,956.75 / $135,462.17
| Facility | | $73,404.77 | $100,956.75 | $135,462.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,142.36 / $82,591.44 / $115,779.63
| Facility | | $60,142.36 | $82,591.44 | $115,779.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,359.36 / $91,727.05 / $115,637.83
| Facility | | $52,359.36 | $91,727.05 | $115,637.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,359.36 / $92,490.63 / $121,282.82
| Facility | | $52,359.36 | $92,490.63 | $121,282.82 |