- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,115.00 / $57,602.60 / $101,438.00
| Facility | | $36,115.00 | $57,602.60 | $101,438.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,882.54 / $46,084.47 / $66,993.61
| Facility | | $15,882.54 | $46,084.47 | $66,993.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,394.18 / $44,789.13 / $75,032.25
| Facility | | $33,394.18 | $44,789.13 | $75,032.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,057.72 / $37,430.25 / $43,159.29
| Facility | | $24,057.72 | $37,430.25 | $43,159.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,494.98 / $41,707.44 / $62,696.67
| Facility | | $12,494.98 | $41,707.44 | $62,696.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,680.05 / $44,827.90 / $60,996.35
| Facility | | $31,680.05 | $44,827.90 | $60,996.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,115.61 / $50,826.13 / $73,123.02
| Facility | | $19,115.61 | $50,826.13 | $73,123.02 |