- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $45,656.30 / $74,564.50
| Facility | | $6,303.00 | $45,656.30 | $74,564.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,301.44 / $82,935.17 / $111,281.10
| Facility | | $60,301.44 | $82,935.17 | $111,281.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,406.47 / $67,848.21 / $95,112.05
| Facility | | $49,406.47 | $67,848.21 | $95,112.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,012.80 / $75,353.05 / $94,995.56
| Facility | | $43,012.80 | $75,353.05 | $94,995.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,012.80 / $75,980.32 / $99,632.88
| Facility | | $43,012.80 | $75,980.32 | $99,632.88 |