- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,374.40 / $58,016.30 / $102,167.00
| Facility | | $36,374.40 | $58,016.30 | $102,167.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,278.00 / $43,623.75 / $63,416.43
| Facility | | $19,278.00 | $43,623.75 | $63,416.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,633.99 / $45,110.77 / $75,571.08
| Facility | | $33,633.99 | $45,110.77 | $75,571.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,828.37 / $35,331.44 / $40,953.85
| Facility | | $22,828.37 | $35,331.44 | $40,953.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,253.18 / $39,358.98 / $59,348.93
| Facility | | $14,253.18 | $39,358.98 | $59,348.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,988.47 / $42,434.28 / $57,663.64
| Facility | | $29,988.47 | $42,434.28 | $57,663.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,339.23 / $99,290.54
| Facility | | $3,775.00 | $36,339.23 | $99,290.54 |