- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,902.20 / $74,807.89 / $131,737.00
| Facility | | $46,902.20 | $74,807.89 | $131,737.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,184.29 / $60,781.41 / $89,084.92
| Facility | | $18,184.29 | $60,781.41 | $89,084.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,368.64 / $58,167.13 / $97,443.53
| Facility | | $43,368.64 | $58,167.13 | $97,443.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,799.11 / $48,264.15 / $55,253.26
| Facility | | $30,799.11 | $48,264.15 | $55,253.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,986.95 / $53,407.48 / $83,371.05
| Facility | | $13,986.95 | $53,407.48 | $83,371.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,126.63 / $59,008.24 / $80,224.92
| Facility | | $42,126.63 | $59,008.24 | $80,224.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,856.85 / $128,028.08
| Facility | | $3,775.00 | $46,856.85 | $128,028.08 |