- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $88,506.70 / $128,117.00
| Facility | | $3,821.00 | $88,506.70 | $128,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,095.24 / $93,610.18 / $157,050.38
| Facility | | $34,095.24 | $93,610.18 | $157,050.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,752.32 / $84,671.85 / $148,798.49
| Facility | | $55,752.32 | $84,671.85 | $148,798.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,237.44 / $99,213.56 / $144,859.88
| Facility | | $76,237.44 | $99,213.56 | $144,859.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,237.44 / $92,232.23 / $144,859.88
| Facility | | $76,237.44 | $92,232.23 | $144,859.88 |