- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,890.60 / $66,814.60 / $117,661.00
| Facility | | $41,890.60 | $66,814.60 | $117,661.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,622.00 / $56,063.44 / $81,373.14
| Facility | | $23,622.00 | $56,063.44 | $81,373.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,734.66 / $51,951.92 / $87,031.61
| Facility | | $38,734.66 | $51,951.92 | $87,031.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,820.46 / $43,100.10 / $51,703.59
| Facility | | $28,820.46 | $43,100.10 | $51,703.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,382.20 / $48,739.05 / $77,568.06
| Facility | | $15,382.20 | $48,739.05 | $77,568.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,620.26 / $55,103.49 / $74,727.24
| Facility | | $39,620.26 | $55,103.49 | $74,727.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,850.16 / $114,348.18
| Facility | | $3,775.00 | $41,850.16 | $114,348.18 |