- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,126.30 / $81,545.30 / $143,601.00
| Facility | | $51,126.30 | $81,545.30 | $143,601.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,455.78 / $70,236.11 / $102,942.30
| Facility | | $22,455.78 | $70,236.11 | $102,942.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,274.56 / $63,405.85 / $106,219.61
| Facility | | $47,274.56 | $63,405.85 | $106,219.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,308.85 / $54,080.40 / $65,137.68
| Facility | | $36,308.85 | $54,080.40 | $65,137.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,850.56 / $61,861.32 / $96,339.62
| Facility | | $17,850.56 | $61,861.32 | $96,339.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,679.53 / $68,187.12 / $92,704.10
| Facility | | $48,679.53 | $68,187.12 | $92,704.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $51,076.93 / $139,558.70
| Facility | | $3,775.00 | $51,076.93 | $139,558.70 |