- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,165.40 / $65,657.80 / $115,624.00
| Facility | | $41,165.40 | $65,657.80 | $115,624.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,809.25 / $55,572.82 / $80,786.95
| Facility | | $18,809.25 | $55,572.82 | $80,786.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,064.05 / $51,052.48 / $85,524.84
| Facility | | $38,064.05 | $51,052.48 | $85,524.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,977.21 / $42,068.40 / $50,190.81
| Facility | | $27,977.21 | $42,068.40 | $50,190.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,774.93 / $49,601.58 / $75,605.31
| Facility | | $11,774.93 | $49,601.58 | $75,605.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,202.67 / $53,511.82 / $72,752.23
| Facility | | $38,202.67 | $53,511.82 | $72,752.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,534.38 / $23,837.61 / $59,426.04
| Facility | | $17,534.38 | $23,837.61 | $59,426.04 |