- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $52,951.30 / $86,478.50
| Facility | | $6,303.00 | $52,951.30 | $86,478.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,936.48 / $96,186.66 / $129,061.74
| Facility | | $69,936.48 | $96,186.66 | $129,061.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,300.70 / $78,689.09 / $110,309.18
| Facility | | $57,300.70 | $78,689.09 | $110,309.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,885.44 / $87,393.06 / $110,174.07
| Facility | | $49,885.44 | $87,393.06 | $110,174.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,885.44 / $88,120.55 / $115,552.35
| Facility | | $49,885.44 | $88,120.55 | $115,552.35 |