- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $49,204.50 / $80,359.20
| Facility | | $6,303.00 | $49,204.50 | $80,359.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,904.23 / $89,380.44 / $119,929.26
| Facility | | $53,904.23 | $89,380.44 | $119,929.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,444.27 / $73,121.00 / $102,503.64
| Facility | | $42,444.27 | $73,121.00 | $102,503.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,355.52 / $81,209.08 / $102,378.10
| Facility | | $46,355.52 | $81,209.08 | $102,378.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,355.52 / $81,885.09 / $107,375.80
| Facility | | $46,355.52 | $81,885.09 | $107,375.80 |