- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,908.40 / $74,817.80 / $131,754.00
| Facility | | $46,908.40 | $74,817.80 | $131,754.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,095.00 / $57,072.75 / $84,733.98
| Facility | | $18,095.00 | $57,072.75 | $84,733.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,374.38 / $58,174.83 / $97,456.43
| Facility | | $43,374.38 | $58,174.83 | $97,456.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,506.53 / $46,002.00 / $52,918.39
| Facility | | $28,506.53 | $46,002.00 | $52,918.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,234.27 / $52,844.42 / $77,645.92
| Facility | | $13,234.27 | $52,844.42 | $77,645.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,233.76 / $56,418.89 / $76,729.70
| Facility | | $39,233.76 | $56,418.89 | $76,729.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,863.06 / $128,045.04
| Facility | | $3,775.00 | $46,863.06 | $128,045.04 |