- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,181.30 / $49,870.00 / $60,216.90
| Facility | | $26,181.30 | $49,870.00 | $60,216.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,031.75 / $76,190.33
| Facility | | $12,397.00 | $45,031.75 | $76,190.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,909.56 / $40,530.06 / $46,785.24
| Facility | | $34,909.56 | $40,530.06 | $46,785.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,489.45 / $35,480.79 / $46,114.20
| Facility | | $23,489.45 | $35,480.79 | $46,114.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,920.57 / $44,360.40 / $68,441.75
| Facility | | $21,920.57 | $44,360.40 | $68,441.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,892.98 / $40,045.57 / $52,317.81
| Facility | | $28,892.98 | $40,045.57 | $52,317.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,999.16 / $63,306.26
| Facility | | $3,775.00 | $43,999.16 | $63,306.26 |