- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $78,241.89 / $127,782.00
| Facility | | $6,303.00 | $78,241.89 | $127,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,339.48 / $142,127.25 / $190,704.09
| Facility | | $103,339.48 | $142,127.25 | $190,704.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,668.61 / $116,272.50 / $162,994.95
| Facility | | $84,668.61 | $116,272.50 | $162,994.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,711.67 / $129,133.65 / $162,795.32
| Facility | | $73,711.67 | $129,133.65 | $162,795.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,711.67 / $130,208.61 / $170,742.36
| Facility | | $73,711.67 | $130,208.61 | $170,742.36 |