- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $77,646.80 / $126,810.00
| Facility | | $6,303.00 | $77,646.80 | $126,810.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,553.49 / $141,046.25 / $189,253.63
| Facility | | $102,553.49 | $141,046.25 | $189,253.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,024.64 / $115,388.15 / $161,755.24
| Facility | | $84,024.64 | $115,388.15 | $161,755.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,151.03 / $128,151.48 / $161,557.12
| Facility | | $73,151.03 | $128,151.48 | $161,557.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,151.03 / $129,218.26 / $169,443.72
| Facility | | $73,151.03 | $129,218.26 | $169,443.72 |