- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,752.90 / $72,974.89 / $128,509.00
| Facility | | $45,752.90 | $72,974.89 | $128,509.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,929.40 / $61,493.01 / $90,102.92
| Facility | | $21,929.40 | $61,493.01 | $90,102.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,306.00 / $56,741.89 / $95,055.92
| Facility | | $42,306.00 | $56,741.89 | $95,055.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,694.12 / $50,386.05 / $58,652.89
| Facility | | $32,694.12 | $50,386.05 | $58,652.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,062.34 / $53,968.21 / $84,347.12
| Facility | | $17,062.34 | $53,968.21 | $84,347.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,619.82 / $59,699.08 / $81,164.14
| Facility | | $42,619.82 | $59,699.08 | $81,164.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,037.00 / $77,738.74
| Facility | | $3,775.00 | $26,037.00 | $77,738.74 |