- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,574.20 / $71,094.89 / $125,198.00
| Facility | | $44,574.20 | $71,094.89 | $125,198.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,506.36 / $62,742.59 / $90,647.17
| Facility | | $28,506.36 | $62,742.59 | $90,647.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,216.07 / $55,280.05 / $92,607.00
| Facility | | $41,216.07 | $55,280.05 | $92,607.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,560.78 / $51,482.35 / $59,999.40
| Facility | | $28,560.78 | $51,482.35 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,759.17 / $55,056.79 / $86,029.35
| Facility | | $26,759.17 | $55,056.79 | $86,029.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,257.33 / $61,099.65 / $83,136.96
| Facility | | $45,257.33 | $61,099.65 | $83,136.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,593.04 / $62,731.09 / $90,250.57
| Facility | | $23,593.04 | $62,731.09 | $90,250.57 |