- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $58,391.80 / $95,363.60
| Facility | | $6,303.00 | $58,391.80 | $95,363.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,122.03 / $106,069.29 / $142,322.09
| Facility | | $77,122.03 | $106,069.29 | $142,322.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,188.02 / $86,773.93 / $121,642.81
| Facility | | $63,188.02 | $86,773.93 | $121,642.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,010.88 / $96,372.19 / $121,493.82
| Facility | | $55,010.88 | $96,372.19 | $121,493.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,010.88 / $97,174.43 / $127,424.68
| Facility | | $55,010.88 | $97,174.43 | $127,424.68 |