- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $85,900.70 / $140,290.00
| Facility | | $6,303.00 | $85,900.70 | $140,290.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,454.99 / $156,039.56 / $209,371.40
| Facility | | $113,454.99 | $156,039.56 | $209,371.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,956.51 / $127,653.98 / $178,949.92
| Facility | | $92,956.51 | $127,653.98 | $178,949.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,927.03 / $141,774.06 / $178,730.74
| Facility | | $80,927.03 | $141,774.06 | $178,730.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,927.03 / $142,954.24 / $187,455.69
| Facility | | $80,927.03 | $142,954.24 | $187,455.69 |