- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $70,431.20 / $115,026.00
| Facility | | $6,303.00 | $70,431.20 | $115,026.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,023.43 / $127,939.15 / $171,666.72
| Facility | | $93,023.43 | $127,939.15 | $171,666.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,216.42 / $104,665.39 / $146,723.69
| Facility | | $76,216.42 | $104,665.39 | $146,723.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,353.28 / $116,242.65 / $146,543.98
| Facility | | $66,353.28 | $116,242.65 | $146,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,353.28 / $117,210.30 / $153,697.70
| Facility | | $66,353.28 | $117,210.30 | $153,697.70 |