- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $77,624.71 / $125,892.54
| Facility | | $17,782.79 | $77,624.71 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $138,038.43 / $186,208.71
| Facility | | $97,723.72 | $138,038.43 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $114,815.36 / $158,489.32
| Facility | | $93,325.43 | $114,815.36 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $112,201.85 / $151,356.12
| Facility | | $69,183.10 | $112,201.85 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $117,489.76 / $158,489.32
| Facility | | $70,794.58 | $117,489.76 | $158,489.32 |