- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,894.19 / $54,060.50 / $95,200.60
| Facility | | $33,894.19 | $54,060.50 | $95,200.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,769.68 / $48,913.10 / $71,690.00
| Facility | | $20,769.68 | $48,913.10 | $71,690.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,340.70 / $42,034.95 / $70,418.36
| Facility | | $31,340.70 | $42,034.95 | $70,418.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,711.62 / $41,855.21 / $51,508.32
| Facility | | $28,711.62 | $41,855.21 | $51,508.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,407.80 / $43,083.29 / $67,091.83
| Facility | | $17,407.80 | $43,083.29 | $67,091.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,900.89 / $47,486.16 / $64,560.02
| Facility | | $33,900.89 | $47,486.16 | $64,560.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,861.49 / $92,520.54
| Facility | | $3,775.00 | $33,861.49 | $92,520.54 |