- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $59,801.00 / $97,665.20
| Facility | | $6,303.00 | $59,801.00 | $97,665.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,983.37 / $108,629.25 / $145,757.01
| Facility | | $78,983.37 | $108,629.25 | $145,757.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,713.05 / $88,868.21 / $124,578.64
| Facility | | $64,713.05 | $88,868.21 | $124,578.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,338.56 / $98,698.11 / $124,426.06
| Facility | | $56,338.56 | $98,698.11 | $124,426.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,338.56 / $99,519.72 / $130,500.06
| Facility | | $56,338.56 | $99,519.72 | $130,500.06 |