- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,745.30 / $55,417.90 / $97,591.00
| Facility | | $34,745.30 | $55,417.90 | $97,591.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,088.32 / $46,308.94 / $67,319.92
| Facility | | $15,088.32 | $46,308.94 | $67,319.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,127.63 / $43,090.40 / $72,186.48
| Facility | | $32,127.63 | $43,090.40 | $72,186.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,927.32 / $35,252.25 / $44,719.34
| Facility | | $24,927.32 | $35,252.25 | $44,719.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,972.69 / $41,824.12 / $63,002.05
| Facility | | $12,972.69 | $41,824.12 | $63,002.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,834.36 / $45,046.25 / $61,272.20
| Facility | | $31,834.36 | $45,046.25 | $61,272.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,711.71 / $94,843.62
| Facility | | $3,775.00 | $34,711.71 | $94,843.62 |