- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $67,002.30 / $109,426.00
| Facility | | $6,303.00 | $67,002.30 | $109,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,494.60 / $121,710.45 / $163,309.15
| Facility | | $88,494.60 | $121,710.45 | $163,309.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,505.83 / $99,569.77 / $139,580.47
| Facility | | $72,505.83 | $99,569.77 | $139,580.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,122.88 / $110,583.40 / $139,409.51
| Facility | | $63,122.88 | $110,583.40 | $139,409.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,122.88 / $111,503.94 / $146,214.95
| Facility | | $63,122.88 | $111,503.94 | $146,214.95 |