- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,651.80 / $52,078.90 / $91,711.00
| Facility | | $32,651.80 | $52,078.90 | $91,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,464.90 / $43,342.65 / $63,194.71
| Facility | | $19,464.90 | $43,342.65 | $63,194.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,191.90 / $40,494.15 / $67,837.16
| Facility | | $30,191.90 | $40,494.15 | $67,837.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,762.20 / $38,717.50 / $48,809.58
| Facility | | $25,762.20 | $38,717.50 | $48,809.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,783.05 / $39,411.44 / $58,966.49
| Facility | | $13,783.05 | $39,411.44 | $58,966.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,795.23 / $42,160.84 / $57,367.33
| Facility | | $29,795.23 | $42,160.84 | $57,367.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,620.29 / $89,129.18
| Facility | | $3,775.00 | $32,620.29 | $89,129.18 |