- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $70,085.80 / $114,462.00
| Facility | | $6,303.00 | $70,085.80 | $114,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,567.18 / $127,311.65 / $170,824.75
| Facility | | $92,567.18 | $127,311.65 | $170,824.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,842.60 / $104,152.04 / $146,004.06
| Facility | | $75,842.60 | $104,152.04 | $146,004.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,027.84 / $115,672.52 / $145,825.24
| Facility | | $66,027.84 | $115,672.52 | $145,825.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,027.84 / $116,635.43 / $152,943.85
| Facility | | $66,027.84 | $116,635.43 | $152,943.85 |