- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $73,089.80 / $119,368.00
| Facility | | $6,303.00 | $73,089.80 | $119,368.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,534.79 / $132,768.47 / $178,146.63
| Facility | | $96,534.79 | $132,768.47 | $178,146.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,093.36 / $108,616.20 / $152,262.07
| Facility | | $79,093.36 | $108,616.20 | $152,262.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,857.92 / $120,630.47 / $152,075.59
| Facility | | $68,857.92 | $120,630.47 | $152,075.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,857.92 / $121,634.65 / $159,499.32
| Facility | | $68,857.92 | $121,634.65 | $159,499.32 |