- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,347.60 / $72,328.39 / $127,370.00
| Facility | | $45,347.60 | $72,328.39 | $127,370.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,204.50 / $59,116.00 / $86,456.53
| Facility | | $19,204.50 | $59,116.00 | $86,456.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,931.19 / $56,239.20 / $94,213.80
| Facility | | $41,931.19 | $56,239.20 | $94,213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,194.17 / $46,303.95 / $54,510.36
| Facility | | $30,194.17 | $46,303.95 | $54,510.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,898.09 / $53,918.69 / $80,425.72
| Facility | | $14,898.09 | $53,918.69 | $80,425.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,638.37 / $57,567.76 / $78,292.16
| Facility | | $40,638.37 | $57,567.76 | $78,292.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,303.80 / $123,784.64
| Facility | | $3,775.00 | $45,303.80 | $123,784.64 |