- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,982.10 / $84,505.30 / $148,814.00
| Facility | | $52,982.10 | $84,505.30 | $148,814.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,336.92 / $71,330.56 / $104,393.37
| Facility | | $25,336.92 | $71,330.56 | $104,393.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,990.58 / $65,707.42 / $110,075.27
| Facility | | $48,990.58 | $65,707.42 | $110,075.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,508.42 / $54,679.01 / $67,289.69
| Facility | | $37,508.42 | $54,679.01 | $67,289.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,932.70 / $62,528.24 / $97,840.83
| Facility | | $17,932.70 | $62,528.24 | $97,840.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,438.07 / $69,249.64 / $94,148.66
| Facility | | $49,438.07 | $69,249.64 | $94,148.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,269.32 / $90,021.89
| Facility | | $3,775.00 | $26,269.32 | $90,021.89 |