- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,675.30 / $72,851.00 / $128,291.00
| Facility | | $45,675.30 | $72,851.00 | $128,291.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,354.44 / $61,301.91 / $89,252.34
| Facility | | $26,354.44 | $61,301.91 | $89,252.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,234.20 / $56,645.59 / $94,894.59
| Facility | | $42,234.20 | $56,645.59 | $94,894.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,727.87 / $47,407.80 / $58,773.03
| Facility | | $29,727.87 | $47,407.80 | $58,773.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,071.42 / $55,705.90 / $83,399.59
| Facility | | $14,071.42 | $55,705.90 | $83,399.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,141.05 / $59,630.41 / $81,137.81
| Facility | | $42,141.05 | $59,630.41 | $81,137.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,631.17 / $124,679.11
| Facility | | $3,775.00 | $45,631.17 | $124,679.11 |