- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $62,376.10 / $101,871.00
| Facility | | $6,303.00 | $62,376.10 | $101,871.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,384.37 / $113,306.79 / $152,033.26
| Facility | | $82,384.37 | $113,306.79 | $152,033.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,499.58 / $92,694.85 / $129,942.96
| Facility | | $67,499.58 | $92,694.85 | $129,942.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,764.48 / $102,948.02 / $129,783.80
| Facility | | $58,764.48 | $102,948.02 | $129,783.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,764.48 / $103,805.01 / $136,119.35
| Facility | | $58,764.48 | $103,805.01 | $136,119.35 |