- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,228.50 / $59,378.60 / $104,566.00
| Facility | | $37,228.50 | $59,378.60 | $104,566.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,838.53 / $38,707.94 / $45,323.57
| Facility | | $28,838.53 | $38,707.94 | $45,323.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,735.78 / $49,761.91 / $72,339.56
| Facility | | $18,735.78 | $49,761.91 | $72,339.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,423.79 / $46,170.07 / $77,345.66
| Facility | | $34,423.79 | $46,170.07 | $77,345.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,281.97 / $41,750.03 / $50,737.55
| Facility | | $28,281.97 | $41,750.03 | $50,737.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,919.06 / $44,033.37 / $67,699.73
| Facility | | $14,919.06 | $44,033.37 | $67,699.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,208.05 / $47,916.42 / $65,144.98
| Facility | | $34,208.05 | $47,916.42 | $65,144.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,192.56 / $101,622.10
| Facility | | $3,775.00 | $37,192.56 | $101,622.10 |