- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,958.40 / $60,542.80 / $106,616.00
| Facility | | $37,958.40 | $60,542.80 | $106,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,631.12 / $51,599.55 / $75,513.91
| Facility | | $20,631.12 | $51,599.55 | $75,513.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,098.71 / $47,075.29 / $78,862.11
| Facility | | $35,098.71 | $47,075.29 | $78,862.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,242.18 / $42,452.85 / $48,113.44
| Facility | | $24,242.18 | $42,452.85 | $48,113.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,495.22 / $45,233.07 / $71,275.80
| Facility | | $15,495.22 | $45,233.07 | $71,275.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,015.01 / $50,447.48 / $68,586.10
| Facility | | $36,015.01 | $50,447.48 | $68,586.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,921.76 / $103,614.53
| Facility | | $3,775.00 | $37,921.76 | $103,614.53 |