- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,467.20 / $38,247.00 / $64,576.20
| Facility | | $17,467.20 | $38,247.00 | $64,576.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,070.39 / $63,913.48 / $82,876.12
| Facility | | $43,070.39 | $63,913.48 | $82,876.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,128.10 / $54,521.70 / $80,034.80
| Facility | | $38,128.10 | $54,521.70 | $80,034.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,056.85 / $53,047.01 / $113,055.00
| Facility | | $28,056.85 | $53,047.01 | $113,055.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,128.10 / $59,361.06 / $80,476.03
| Facility | | $38,128.10 | $59,361.06 | $80,476.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,915.64 / $86,056.23
| Facility | | $9,114.00 | $48,915.64 | $86,056.23 |