- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,021.20 / $41,833.80 / $71,285.00
| Facility | | $19,021.20 | $41,833.80 | $71,285.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,026.47 / $65,332.25 / $84,715.82
| Facility | | $44,026.47 | $65,332.25 | $84,715.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,520.24 / $59,372.32 / $87,155.24
| Facility | | $41,520.24 | $59,372.32 | $87,155.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,552.98 / $58,708.29 / $123,113.14
| Facility | | $30,552.98 | $58,708.29 | $123,113.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,901.40 / $20,901.40 / $21,365.43
| Facility | | $20,901.40 | $20,901.40 | $21,365.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,520.24 / $64,642.23 / $87,635.73
| Facility | | $41,520.24 | $64,642.23 | $87,635.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $53,267.51 / $83,479.00
| Facility | | $9,114.00 | $53,267.51 | $83,479.00 |