- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $56,719.60 / $92,632.70
| Facility | | $6,303.00 | $56,719.60 | $92,632.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,913.48 / $103,031.75 / $138,246.37
| Facility | | $74,913.48 | $103,031.75 | $138,246.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,378.49 / $84,288.97 / $118,159.29
| Facility | | $61,378.49 | $84,288.97 | $118,159.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,435.52 / $93,612.35 / $118,014.57
| Facility | | $53,435.52 | $93,612.35 | $118,014.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,435.52 / $94,391.62 / $123,775.59
| Facility | | $53,435.52 | $94,391.62 | $123,775.59 |