- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $80,183.10 / $130,953.00
| Facility | | $6,303.00 | $80,183.10 | $130,953.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,903.35 / $145,653.46 / $195,435.50
| Facility | | $105,903.35 | $145,653.46 | $195,435.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,769.26 / $119,157.24 / $167,038.89
| Facility | | $86,769.26 | $119,157.24 | $167,038.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,540.48 / $132,337.48 / $166,834.29
| Facility | | $75,540.48 | $132,337.48 | $166,834.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,540.48 / $133,439.10 / $174,978.51
| Facility | | $75,540.48 | $133,439.10 | $174,978.51 |