- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,040.10 / $71,838.00 / $126,507.00
| Facility | | $45,040.10 | $71,838.00 | $126,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,746.62 / $59,681.31 / $87,341.24
| Facility | | $23,746.62 | $59,681.31 | $87,341.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,646.87 / $55,857.85 / $93,574.95
| Facility | | $41,646.87 | $55,857.85 | $93,574.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,010.13 / $47,534.85 / $57,425.82
| Facility | | $32,010.13 | $47,534.85 | $57,425.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,117.99 / $52,313.96 / $82,406.39
| Facility | | $16,117.99 | $52,313.96 | $82,406.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,639.19 / $58,325.48 / $79,296.67
| Facility | | $41,639.19 | $58,325.48 | $79,296.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,996.60 / $122,945.28
| Facility | | $3,775.00 | $44,996.60 | $122,945.28 |