- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $85,630.60 / $139,849.00
| Facility | | $6,303.00 | $85,630.60 | $139,849.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,098.34 / $155,549.03 / $208,713.23
| Facility | | $113,098.34 | $155,549.03 | $208,713.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,664.29 / $127,252.69 / $178,387.38
| Facility | | $92,664.29 | $127,252.69 | $178,387.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,672.64 / $141,328.38 / $178,168.89
| Facility | | $80,672.64 | $141,328.38 | $178,168.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,672.64 / $142,504.85 / $186,866.41
| Facility | | $80,672.64 | $142,504.85 | $186,866.41 |