- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,796.80 / $77,829.80 / $137,058.00
| Facility | | $48,796.80 | $77,829.80 | $137,058.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,702.73 / $56,821.01 / $83,174.50
| Facility | | $20,702.73 | $56,821.01 | $83,174.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,120.56 / $60,516.85 / $101,379.86
| Facility | | $45,120.56 | $60,516.85 | $101,379.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,773.53 / $50,468.55 / $63,345.37
| Facility | | $33,773.53 | $50,468.55 | $63,345.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,862.83 / $51,871.85 / $77,303.44
| Facility | | $15,862.83 | $51,871.85 | $77,303.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,060.72 / $55,380.57 / $75,317.58
| Facility | | $39,060.72 | $55,380.57 | $75,317.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $48,749.68 / $133,199.90
| Facility | | $3,775.00 | $48,749.68 | $133,199.90 |