- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $46,719.10 / $76,300.20
| Facility | | $6,303.00 | $46,719.10 | $76,300.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,705.17 / $84,865.79 / $113,871.58
| Facility | | $61,705.17 | $84,865.79 | $113,871.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,556.59 / $69,427.63 / $97,326.13
| Facility | | $50,556.59 | $69,427.63 | $97,326.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,014.08 / $77,107.17 / $97,206.93
| Facility | | $44,014.08 | $77,107.17 | $97,206.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,014.08 / $77,749.03 / $101,952.20
| Facility | | $44,014.08 | $77,749.03 | $101,952.20 |