- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,648.10 / $63,237.80 / $111,362.00
| Facility | | $39,648.10 | $63,237.80 | $111,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,903.86 / $51,175.83 / $74,394.99
| Facility | | $19,903.86 | $51,175.83 | $74,394.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,661.08 / $49,170.78 / $82,372.55
| Facility | | $36,661.08 | $49,170.78 | $82,372.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,113.55 / $44,196.36 / $50,704.74
| Facility | | $28,113.55 | $44,196.36 | $50,704.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,112.51 / $46,339.54 / $69,623.33
| Facility | | $13,112.51 | $46,339.54 | $69,623.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,180.03 / $49,780.44 / $67,735.16
| Facility | | $35,180.03 | $49,780.44 | $67,735.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $39,609.80 / $108,226.78
| Facility | | $3,775.00 | $39,609.80 | $108,226.78 |