- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,892.90 / $57,248.40 / $100,815.00
| Facility | | $35,892.90 | $57,248.40 | $100,815.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,072.87 / $48,610.22 / $70,665.33
| Facility | | $21,072.87 | $48,610.22 | $70,665.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,188.83 / $44,513.71 / $74,570.87
| Facility | | $33,188.83 | $44,513.71 | $74,570.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,093.87 / $41,233.12 / $48,606.10
| Facility | | $27,093.87 | $41,233.12 | $48,606.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,251.16 / $43,746.42 / $66,132.89
| Facility | | $13,251.16 | $43,746.42 | $66,132.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,416.33 / $47,141.22 / $64,028.81
| Facility | | $33,416.33 | $47,141.22 | $64,028.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,858.26 / $97,976.39
| Facility | | $3,775.00 | $35,858.26 | $97,976.39 |