- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,524.00 / $45,495.10 / $80,116.89
| Facility | | $28,524.00 | $45,495.10 | $80,116.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,982.14 / $28,982.14 / $31,954.00
| Facility | | $28,982.14 | $28,982.14 | $31,954.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,176.67 / $36,919.18 / $54,092.78
| Facility | | $15,176.67 | $36,919.18 | $54,092.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,375.01 / $35,374.83 / $59,261.13
| Facility | | $26,375.01 | $35,374.83 | $59,261.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,135.73 / $28,931.10 / $34,329.29
| Facility | | $19,135.73 | $28,931.10 | $34,329.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,111.10 / $33,735.01 / $50,227.55
| Facility | | $10,111.10 | $33,735.01 | $50,227.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,379.52 / $36,017.60 / $48,983.94
| Facility | | $25,379.52 | $36,017.60 | $48,983.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,496.40 / $74,233.89
| Facility | | $3,775.00 | $28,496.40 | $74,233.89 |