- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $55,744.40 / $91,040.10
| Facility | | $6,303.00 | $55,744.40 | $91,040.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,625.49 / $101,260.32 / $135,869.50
| Facility | | $73,625.49 | $101,260.32 | $135,869.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,323.20 / $82,839.78 / $116,127.77
| Facility | | $60,323.20 | $82,839.78 | $116,127.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,516.80 / $92,002.87 / $115,985.54
| Facility | | $52,516.80 | $92,002.87 | $115,985.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,516.80 / $92,768.74 / $121,647.51
| Facility | | $52,516.80 | $92,768.74 | $121,647.51 |