- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,010.09 / $43,956.50 / $74,216.20
| Facility | | $19,010.09 | $43,956.50 | $74,216.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,378.96 / $68,575.22 / $94,444.00
| Facility | | $46,378.96 | $68,575.22 | $94,444.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,819.87 / $62,660.71 / $91,982.41
| Facility | | $43,819.87 | $62,660.71 | $91,982.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,973.25 / $61,959.90 / $122,194.14
| Facility | | $34,973.25 | $61,959.90 | $122,194.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,891.57 / $22,891.57 / $22,891.57
| Facility | | $22,891.57 | $22,891.57 | $22,891.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,487.89 / $69,293.97 / $91,982.41
| Facility | | $45,487.89 | $69,293.97 | $91,982.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $56,217.78 / $96,374.78
| Facility | | $9,114.00 | $56,217.78 | $96,374.78 |