- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,584.20 / $79,085.70 / $139,270.00
| Facility | | $49,584.20 | $79,085.70 | $139,270.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,865.59 / $71,890.27 / $105,366.73
| Facility | | $27,865.59 | $71,890.27 | $105,366.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,848.61 / $61,493.33 / $103,015.69
| Facility | | $45,848.61 | $61,493.33 | $103,015.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,453.32 / $61,233.15 / $76,160.78
| Facility | | $42,453.32 | $61,233.15 | $76,160.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,841.17 / $63,189.57 / $98,608.55
| Facility | | $21,841.17 | $63,189.57 | $98,608.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,826.00 / $69,793.02 / $94,887.41
| Facility | | $49,826.00 | $69,793.02 | $94,887.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $49,536.29 / $135,349.18
| Facility | | $3,775.00 | $49,536.29 | $135,349.18 |