- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $53,943.80 / $88,099.40
| Facility | | $6,303.00 | $53,943.80 | $88,099.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,247.35 / $97,989.56 / $131,480.84
| Facility | | $71,247.35 | $97,989.56 | $131,480.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,374.73 / $80,164.00 / $112,376.79
| Facility | | $58,374.73 | $80,164.00 | $112,376.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,820.48 / $89,031.13 / $112,239.15
| Facility | | $50,820.48 | $89,031.13 | $112,239.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,820.48 / $89,772.26 / $117,718.23
| Facility | | $50,820.48 | $89,772.26 | $117,718.23 |