- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $55,942.10 / $91,362.90
| Facility | | $6,303.00 | $55,942.10 | $91,362.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,886.59 / $101,619.42 / $136,351.32
| Facility | | $73,886.59 | $101,619.42 | $136,351.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,537.13 / $83,133.56 / $116,539.60
| Facility | | $60,537.13 | $83,133.56 | $116,539.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,703.04 / $92,329.14 / $116,396.86
| Facility | | $52,703.04 | $92,329.14 | $116,396.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,703.04 / $93,097.72 / $122,078.91
| Facility | | $52,703.04 | $93,097.72 | $122,078.91 |