- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,038.80 / $68,656.60
| Facility | | $6,303.00 | $42,038.80 | $68,656.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,523.62 / $76,364.03 / $102,464.05
| Facility | | $55,523.62 | $76,364.03 | $102,464.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,491.89 / $62,472.45 / $87,576.11
| Facility | | $45,491.89 | $62,472.45 | $87,576.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,604.80 / $69,382.66 / $87,468.85
| Facility | | $39,604.80 | $69,382.66 | $87,468.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,604.80 / $69,960.23 / $91,738.74
| Facility | | $39,604.80 | $69,960.23 | $91,738.74 |