- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,540.80 / $61,471.70 / $108,252.00
| Facility | | $38,540.80 | $61,471.70 | $108,252.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,791.00 / $52,302.35 / $76,032.63
| Facility | | $24,791.00 | $52,302.35 | $76,032.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,637.21 / $47,797.54 / $80,072.05
| Facility | | $35,637.21 | $47,797.54 | $80,072.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,067.52 / $41,712.00 / $48,558.83
| Facility | | $27,067.52 | $41,712.00 | $48,558.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,240.95 / $47,069.12 / $71,155.92
| Facility | | $14,240.95 | $47,069.12 | $71,155.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,954.44 / $50,477.20 / $68,559.85
| Facility | | $35,954.44 | $50,477.20 | $68,559.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,399.57 / $54,240.04 / $76,061.62
| Facility | | $20,399.57 | $54,240.04 | $76,061.62 |