- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,139.90 / $57,642.30 / $101,508.00
| Facility | | $36,139.90 | $57,642.30 | $101,508.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,182.68 / $45,539.04 / $66,619.06
| Facility | | $17,182.68 | $45,539.04 | $66,619.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,417.16 / $44,819.95 / $75,083.88
| Facility | | $33,417.16 | $44,819.95 | $75,083.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,179.59 / $38,212.35 / $46,965.89
| Facility | | $26,179.59 | $38,212.35 | $46,965.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,256.13 / $41,547.03 / $61,954.63
| Facility | | $12,256.13 | $41,547.03 | $61,954.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,305.11 / $44,357.75 / $60,326.55
| Facility | | $31,305.11 | $44,357.75 | $60,326.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,104.96 / $98,650.42
| Facility | | $3,775.00 | $36,104.96 | $98,650.42 |