- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $46,490.90 / $75,927.50
| Facility | | $6,303.00 | $46,490.90 | $75,927.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,403.70 / $84,451.16 / $113,315.23
| Facility | | $61,403.70 | $84,451.16 | $113,315.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,309.58 / $69,088.42 / $96,850.63
| Facility | | $50,309.58 | $69,088.42 | $96,850.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,799.04 / $76,730.44 / $96,732.00
| Facility | | $43,799.04 | $76,730.44 | $96,732.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,799.04 / $77,369.17 / $101,454.09
| Facility | | $43,799.04 | $77,369.17 | $101,454.09 |