- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $55,355.10 / $90,404.30
| Facility | | $6,303.00 | $55,355.10 | $90,404.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,238.96 / $100,553.23 / $134,920.73
| Facility | | $71,238.96 | $100,553.23 | $134,920.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,901.97 / $82,261.32 / $115,316.86
| Facility | | $59,901.97 | $82,261.32 | $115,316.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,150.08 / $91,360.42 / $115,175.62
| Facility | | $52,150.08 | $91,360.42 | $115,175.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,150.08 / $92,120.94 / $120,798.06
| Facility | | $52,150.08 | $92,120.94 | $120,798.06 |