- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $43,034.40 / $70,282.50
| Facility | | $6,303.00 | $43,034.40 | $70,282.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,838.53 / $78,172.49 / $104,890.60
| Facility | | $56,838.53 | $78,172.49 | $104,890.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,569.23 / $63,951.92 / $89,650.09
| Facility | | $46,569.23 | $63,951.92 | $89,650.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,542.72 / $71,025.78 / $89,540.29
| Facility | | $40,542.72 | $71,025.78 | $89,540.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,542.72 / $71,617.03 / $93,911.30
| Facility | | $40,542.72 | $71,617.03 | $93,911.30 |