- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,354.80 / $47,415.10 / $83,315.00
| Facility | | $16,354.80 | $47,415.10 | $83,315.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,942.26 / $77,078.73 / $99,947.39
| Facility | | $51,942.26 | $77,078.73 | $99,947.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $62,662.11 / $100,190.12
| Facility | | $17,646.00 | $62,662.11 | $100,190.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,131.12 / $67,505.32 / $141,560.79
| Facility | | $35,131.12 | $67,505.32 | $141,560.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,850.04 / $24,592.08 / $25,138.33
| Facility | | $23,850.04 | $24,592.08 | $25,138.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $67,059.53 / $100,214.85
| Facility | | $17,648.00 | $67,059.53 | $100,214.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,295.00 / $46,109.44 / $91,696.63
| Facility | | $8,295.00 | $46,109.44 | $91,696.63 |