- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,082.50 / $83,968.30 / $101,390.00
| Facility | | $44,082.50 | $83,968.30 | $101,390.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $75,821.89 / $125,773.34
| Facility | | $12,397.00 | $75,821.89 | $125,773.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,020.89 / $68,231.74 / $76,531.56
| Facility | | $58,020.89 | $68,231.74 | $76,531.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,842.24 / $59,028.75 / $71,476.53
| Facility | | $39,842.24 | $59,028.75 | $71,476.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,731.15 / $74,326.84 / $116,791.05
| Facility | | $42,731.15 | $74,326.84 | $116,791.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,695.91 / $66,762.64 / $89,802.67
| Facility | | $47,695.91 | $66,762.64 | $89,802.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $74,083.28 / $106,591.49
| Facility | | $3,775.00 | $74,083.28 | $106,591.49 |