- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,293.90 / $80,217.60 / $141,263.00
| Facility | | $50,293.90 | $80,217.60 | $141,263.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,408.28 / $69,265.50 / $101,367.34
| Facility | | $26,408.28 | $69,265.50 | $101,367.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,504.86 / $62,373.51 / $104,490.20
| Facility | | $46,504.86 | $62,373.51 | $104,490.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,880.24 / $51,890.85 / $57,691.38
| Facility | | $31,880.24 | $51,890.85 | $57,691.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,208.60 / $60,713.77 / $95,386.39
| Facility | | $15,208.60 | $60,713.77 | $95,386.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,197.87 / $67,512.44 / $91,786.84
| Facility | | $48,197.87 | $67,512.44 | $91,786.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $50,245.33 / $137,286.49
| Facility | | $3,775.00 | $50,245.33 | $137,286.49 |