- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,110.90 / $63,976.00 / $112,662.00
| Facility | | $40,110.90 | $63,976.00 | $112,662.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,921.89 / $57,019.50 / $83,571.24
| Facility | | $25,921.89 | $57,019.50 | $83,571.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,089.01 / $49,744.73 / $83,334.03
| Facility | | $37,089.01 | $49,744.73 | $83,334.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,525.49 / $46,860.84 / $57,853.10
| Facility | | $31,525.49 | $46,860.84 | $57,853.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,952.75 / $50,193.98 / $78,211.02
| Facility | | $20,952.75 | $50,193.98 | $78,211.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,519.31 / $55,356.08 / $75,259.61
| Facility | | $39,519.31 | $55,356.08 | $75,259.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,072.14 / $109,490.06
| Facility | | $3,775.00 | $40,072.14 | $109,490.06 |