- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,074.80 / $78,273.20 / $137,839.00
| Facility | | $49,074.80 | $78,273.20 | $137,839.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,929.01 / $65,533.83 / $95,906.18
| Facility | | $30,929.01 | $65,533.83 | $95,906.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,377.60 / $60,861.60 / $101,957.40
| Facility | | $45,377.60 | $60,861.60 | $101,957.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,848.28 / $52,938.60 / $64,311.41
| Facility | | $35,848.28 | $52,938.60 | $64,311.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,507.70 / $57,444.38 / $90,009.45
| Facility | | $18,507.70 | $57,444.38 | $90,009.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,480.95 / $63,706.76 / $86,612.81
| Facility | | $45,480.95 | $63,706.76 | $86,612.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,903.40 / $28,151.81 / $70,844.03
| Facility | | $20,903.40 | $28,151.81 | $70,844.03 |