- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $55,664.90 / $90,910.30
| Facility | | $6,303.00 | $55,664.90 | $90,910.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,520.50 / $101,115.94 / $135,675.76
| Facility | | $73,520.50 | $101,115.94 | $135,675.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,237.19 / $82,721.67 / $115,962.20
| Facility | | $60,237.19 | $82,721.67 | $115,962.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,441.92 / $91,871.69 / $115,820.17
| Facility | | $52,441.92 | $91,871.69 | $115,820.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,441.92 / $92,636.47 / $121,474.06
| Facility | | $52,441.92 | $92,636.47 | $121,474.06 |