- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,518.80 / $69,440.39
| Facility | | $6,303.00 | $42,518.80 | $69,440.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,157.52 / $77,235.87 / $103,633.86
| Facility | | $56,157.52 | $77,235.87 | $103,633.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,011.26 / $63,185.68 / $88,575.95
| Facility | | $46,011.26 | $63,185.68 | $88,575.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,056.96 / $70,174.78 / $88,467.47
| Facility | | $40,056.96 | $70,174.78 | $88,467.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,056.96 / $70,758.95 / $92,786.11
| Facility | | $40,056.96 | $70,758.95 | $92,786.11 |