- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $97,346.50 / $140,913.00
| Facility | | $5,767.00 | $97,346.50 | $140,913.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,612.09 / $86,091.65 / $145,612.43
| Facility | | $31,612.09 | $86,091.65 | $145,612.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,164.92 / $98,229.70 / $175,214.04
| Facility | | $70,164.92 | $98,229.70 | $175,214.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,851.83 / $109,122.74 / $159,328.10
| Facility | | $83,851.83 | $109,122.74 | $159,328.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,851.83 / $101,444.14 / $159,328.10
| Facility | | $83,851.83 | $101,444.14 | $159,328.10 |