- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,319.10 / $69,114.20
| Facility | | $6,303.00 | $42,319.10 | $69,114.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,893.73 / $76,873.07 / $103,147.06
| Facility | | $55,893.73 | $76,873.07 | $103,147.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,795.13 / $62,888.88 / $88,159.88
| Facility | | $45,795.13 | $62,888.88 | $88,159.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,868.80 / $69,845.14 / $88,051.91
| Facility | | $39,868.80 | $69,845.14 | $88,051.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,868.80 / $70,426.57 / $92,350.26
| Facility | | $39,868.80 | $70,426.57 | $92,350.26 |