- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $46,838.30 / $76,495.00
| Facility | | $6,303.00 | $46,838.30 | $76,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,862.64 / $85,082.36 / $114,162.17
| Facility | | $61,862.64 | $85,082.36 | $114,162.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,685.61 / $69,604.80 / $97,574.50
| Facility | | $50,685.61 | $69,604.80 | $97,574.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,126.40 / $77,303.94 / $97,454.99
| Facility | | $44,126.40 | $77,303.94 | $97,454.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,126.40 / $77,947.45 / $102,212.37
| Facility | | $44,126.40 | $77,947.45 | $102,212.37 |