- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,077.69 / $57,543.20 / $101,334.00
| Facility | | $36,077.69 | $57,543.20 | $101,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,714.46 / $50,221.33 / $74,238.59
| Facility | | $14,714.46 | $50,221.33 | $74,238.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,359.72 / $44,742.91 / $74,954.82
| Facility | | $33,359.72 | $44,742.91 | $74,954.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,835.65 / $36,222.44 / $44,322.57
| Facility | | $22,835.65 | $36,222.44 | $44,322.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,118.09 / $46,298.96 / $68,324.75
| Facility | | $10,118.09 | $46,298.96 | $68,324.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,523.87 / $49,430.93 / $67,226.07
| Facility | | $34,523.87 | $49,430.93 | $67,226.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,042.90 / $93,892.73
| Facility | | $3,775.00 | $36,042.90 | $93,892.73 |