- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,556.10 / $40,115.30 / $101,727.00
| Facility | | $11,556.10 | $40,115.30 | $101,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,326.46 / $65,777.41 / $85,293.06
| Facility | | $44,326.46 | $65,777.41 | $85,293.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $50,333.50 / $80,477.96
| Facility | | $17,646.00 | $50,333.50 | $80,477.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,219.17 / $54,223.82 / $113,709.06
| Facility | | $28,219.17 | $54,223.82 | $113,709.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $53,865.74 / $80,497.83
| Facility | | $17,648.00 | $53,865.74 | $80,497.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $36,041.76 / $69,233.12
| Facility | | $5,281.00 | $36,041.76 | $69,233.12 |