- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $59,762.30 / $97,602.00
| Facility | | $6,303.00 | $59,762.30 | $97,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,932.23 / $108,558.91 / $145,662.63
| Facility | | $78,932.23 | $108,558.91 | $145,662.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,671.15 / $88,810.67 / $124,497.97
| Facility | | $64,671.15 | $88,810.67 | $124,497.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,302.08 / $98,634.21 / $124,345.49
| Facility | | $56,302.08 | $98,634.21 | $124,345.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,302.08 / $99,455.28 / $130,415.56
| Facility | | $56,302.08 | $99,455.28 | $130,415.56 |