- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $42,939.60 / $70,127.70
| Facility | | $6,303.00 | $42,939.60 | $70,127.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,713.36 / $78,000.34 / $104,659.62
| Facility | | $56,713.36 | $78,000.34 | $104,659.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,466.68 / $63,811.09 / $89,452.67
| Facility | | $46,466.68 | $63,811.09 | $89,452.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,453.44 / $70,869.37 / $89,343.11
| Facility | | $40,453.44 | $70,869.37 | $89,343.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,453.44 / $71,459.32 / $93,704.49
| Facility | | $40,453.44 | $71,459.32 | $93,704.49 |