- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $53,043.00 / $86,628.30
| Facility | | $6,303.00 | $53,043.00 | $86,628.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,610.86 / $96,353.26 / $129,285.27
| Facility | | $67,610.86 | $96,353.26 | $129,285.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,879.53 / $78,825.37 / $110,500.23
| Facility | | $53,879.53 | $78,825.37 | $110,500.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,971.84 / $87,544.42 / $110,364.89
| Facility | | $49,971.84 | $87,544.42 | $110,364.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,971.84 / $87,544.42 / $115,752.48
| Facility | | $49,971.84 | $87,544.42 | $115,752.48 |