- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,318.50 / $57,927.10 / $102,010.00
| Facility | | $36,318.50 | $57,927.10 | $102,010.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,293.03 / $49,055.81 / $71,791.24
| Facility | | $22,293.03 | $49,055.81 | $71,791.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,582.30 / $45,041.44 / $75,454.92
| Facility | | $33,582.30 | $45,041.44 | $75,454.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,541.63 / $40,329.30 / $47,615.40
| Facility | | $26,541.63 | $40,329.30 | $47,615.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,036.77 / $43,001.32 / $67,987.99
| Facility | | $13,036.77 | $43,001.32 | $67,987.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,353.71 / $48,120.44 / $65,422.36
| Facility | | $34,353.71 | $48,120.44 | $65,422.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,283.37 / $99,137.93
| Facility | | $3,775.00 | $36,283.37 | $99,137.93 |