- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,345.80 / $69,135.50 / $121,748.00
| Facility | | $43,345.80 | $69,135.50 | $121,748.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,108.46 / $55,802.29 / $81,787.22
| Facility | | $20,108.46 | $55,802.29 | $81,787.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,080.19 / $53,756.59 / $90,054.84
| Facility | | $40,080.19 | $53,756.59 | $90,054.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,499.66 / $44,823.90 / $51,128.08
| Facility | | $28,499.66 | $44,823.90 | $51,128.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,156.78 / $49,301.65 / $76,541.42
| Facility | | $13,156.78 | $49,301.65 | $76,541.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,675.68 / $54,174.38 / $73,653.02
| Facility | | $38,675.68 | $54,174.38 | $73,653.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,303.92 / $118,320.31
| Facility | | $3,775.00 | $43,303.92 | $118,320.31 |