- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $43,744.70 / $71,442.39
| Facility | | $6,303.00 | $43,744.70 | $71,442.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,776.60 / $79,462.64 / $106,621.73
| Facility | | $57,776.60 | $79,462.64 | $106,621.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,337.81 / $65,007.38 / $91,129.68
| Facility | | $47,337.81 | $65,007.38 | $91,129.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,211.83 / $72,197.99 / $91,018.07
| Facility | | $41,211.83 | $72,197.99 | $91,018.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,211.83 / $72,799.00 / $95,461.22
| Facility | | $41,211.83 | $72,799.00 | $95,461.22 |