- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $44,096.20 / $72,016.60
| Facility | | $6,303.00 | $44,096.20 | $72,016.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,240.92 / $80,101.25 / $107,478.60
| Facility | | $58,240.92 | $80,101.25 | $107,478.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,718.24 / $65,529.82 / $91,862.05
| Facility | | $47,718.24 | $65,529.82 | $91,862.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,543.04 / $72,778.21 / $91,749.53
| Facility | | $41,543.04 | $72,778.21 | $91,749.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,543.04 / $73,384.05 / $96,228.39
| Facility | | $41,543.04 | $73,384.05 | $96,228.39 |