- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,055.00 / $63,886.80 / $112,505.00
| Facility | | $40,055.00 | $63,886.80 | $112,505.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,399.62 / $47,320.73 / $68,464.03
| Facility | | $16,399.62 | $47,320.73 | $68,464.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,037.31 / $49,675.39 / $83,217.89
| Facility | | $37,037.31 | $49,675.39 | $83,217.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,418.83 / $38,489.55 / $45,601.10
| Facility | | $25,418.83 | $38,489.55 | $45,601.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,473.15 / $43,168.96 / $62,627.14
| Facility | | $11,473.15 | $43,168.96 | $62,627.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,433.45 / $46,591.09 / $64,342.56
| Facility | | $31,433.45 | $46,591.09 | $64,342.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,061.41 / $23,231.96 / $57,823.08
| Facility | | $17,061.41 | $23,231.96 | $57,823.08 |