- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $47,809.40 / $78,080.89
| Facility | | $6,303.00 | $47,809.40 | $78,080.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,145.25 / $86,846.39 / $116,529.11
| Facility | | $63,145.25 | $86,846.39 | $116,529.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,736.48 / $71,047.92 / $99,597.53
| Facility | | $51,736.48 | $71,047.92 | $99,597.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,041.28 / $78,906.69 / $99,475.54
| Facility | | $45,041.28 | $78,906.69 | $99,475.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,041.28 / $79,563.53 / $104,331.56
| Facility | | $45,041.28 | $79,563.53 | $104,331.56 |