- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,683.90 / $69,710.00
| Facility | | $6,303.00 | $42,683.90 | $69,710.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,375.55 / $77,535.74 / $104,036.22
| Facility | | $56,375.55 | $77,535.74 | $104,036.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,189.90 / $63,431.00 / $88,919.85
| Facility | | $46,189.90 | $63,431.00 | $88,919.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,212.48 / $70,447.24 / $88,810.94
| Facility | | $40,212.48 | $70,447.24 | $88,810.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,212.48 / $71,033.67 / $93,146.35
| Facility | | $40,212.48 | $71,033.67 | $93,146.35 |