- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $44,762.60 / $73,105.00
| Facility | | $6,303.00 | $44,762.60 | $73,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,121.11 / $81,311.83 / $109,102.92
| Facility | | $59,121.11 | $81,311.83 | $109,102.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,439.41 / $66,520.17 / $93,250.36
| Facility | | $48,439.41 | $66,520.17 | $93,250.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,170.88 / $73,878.11 / $93,136.15
| Facility | | $42,170.88 | $73,878.11 | $93,136.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,170.88 / $74,493.10 / $97,682.69
| Facility | | $42,170.88 | $74,493.10 | $97,682.69 |