- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,268.30 / $70,606.89 / $124,339.00
| Facility | | $44,268.30 | $70,606.89 | $124,339.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,310.63 / $58,931.40 / $86,334.98
| Facility | | $26,310.63 | $58,931.40 | $86,334.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,933.18 / $54,900.63 / $91,971.38
| Facility | | $40,933.18 | $54,900.63 | $91,971.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,557.36 / $46,015.20 / $54,819.57
| Facility | | $30,557.36 | $46,015.20 | $54,819.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,606.49 / $53,842.88 / $80,174.57
| Facility | | $15,606.49 | $53,842.88 | $80,174.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,511.47 / $57,486.83 / $78,182.09
| Facility | | $40,511.47 | $57,486.83 | $78,182.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,225.51 / $120,838.40
| Facility | | $3,775.00 | $44,225.51 | $120,838.40 |