- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $46,351.30 / $75,699.50
| Facility | | $6,303.00 | $46,351.30 | $75,699.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,219.32 / $84,197.57 / $112,974.97
| Facility | | $61,219.32 | $84,197.57 | $112,974.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,158.51 / $68,880.96 / $96,559.80
| Facility | | $50,158.51 | $68,880.96 | $96,559.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,667.52 / $76,500.03 / $96,441.54
| Facility | | $43,667.52 | $76,500.03 | $96,441.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,667.52 / $77,136.85 / $101,149.44
| Facility | | $43,667.52 | $77,136.85 | $101,149.44 |