- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,687.30 / $68,085.30 / $119,898.00
| Facility | | $42,687.30 | $68,085.30 | $119,898.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,702.05 / $56,520.83 / $82,455.08
| Facility | | $19,702.05 | $56,520.83 | $82,455.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,471.33 / $52,939.96 / $88,686.81
| Facility | | $39,471.33 | $52,939.96 | $88,686.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,132.82 / $41,989.20 / $48,675.98
| Facility | | $27,132.82 | $41,989.20 | $48,675.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,323.98 / $50,002.10 / $77,166.45
| Facility | | $13,323.98 | $50,002.10 | $77,166.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,991.50 / $54,616.76 / $74,254.46
| Facility | | $38,991.50 | $54,616.76 | $74,254.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,594.31 / $61,623.11 / $86,430.12
| Facility | | $22,594.31 | $61,623.11 | $86,430.12 |