- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,961.00 / $70,162.70
| Facility | | $6,303.00 | $42,961.00 | $70,162.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,741.63 / $78,039.21 / $104,711.78
| Facility | | $56,741.63 | $78,039.21 | $104,711.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,489.83 / $63,842.89 / $89,497.25
| Facility | | $46,489.83 | $63,842.89 | $89,497.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,473.60 / $70,904.69 / $89,387.63
| Facility | | $40,473.60 | $70,904.69 | $89,387.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,473.60 / $71,494.92 / $93,751.19
| Facility | | $40,473.60 | $71,494.92 | $93,751.19 |