- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,910.80 / $85,986.60 / $151,422.00
| Facility | | $53,910.80 | $85,986.60 | $151,422.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,850.96 / $71,446.87 / $103,863.28
| Facility | | $26,850.96 | $71,446.87 | $103,863.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,849.30 / $66,859.16 / $112,004.72
| Facility | | $49,849.30 | $66,859.16 | $112,004.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,906.29 / $53,567.25 / $61,200.53
| Facility | | $33,906.29 | $53,567.25 | $61,200.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,661.26 / $64,298.10 / $97,201.53
| Facility | | $15,661.26 | $64,298.10 | $97,201.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,115.04 / $69,214.63 / $94,009.67
| Facility | | $49,115.04 | $69,214.63 | $94,009.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,963.31 / $31,003.21 / $77,825.32
| Facility | | $22,963.31 | $31,003.21 | $77,825.32 |