- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,371.30 / $77,151.10 / $135,863.00
| Facility | | $48,371.30 | $77,151.10 | $135,863.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,607.80 / $62,450.13 / $91,530.69
| Facility | | $24,607.80 | $62,450.13 | $91,530.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,727.09 / $59,989.12 / $100,495.80
| Facility | | $44,727.09 | $59,989.12 | $100,495.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,576.11 / $49,102.35 / $58,441.19
| Facility | | $32,576.11 | $49,102.35 | $58,441.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,618.68 / $54,929.47 / $85,659.96
| Facility | | $17,618.68 | $54,929.47 | $85,659.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,283.19 / $60,628.28 / $82,427.45
| Facility | | $43,283.19 | $60,628.28 | $82,427.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $48,324.57 / $132,038.35
| Facility | | $3,775.00 | $48,324.57 | $132,038.35 |