- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,392.50 / $51,665.30 / $90,982.60
| Facility | | $32,392.50 | $51,665.30 | $90,982.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,360.00 / $45,684.76 / $66,426.49
| Facility | | $21,360.00 | $45,684.76 | $66,426.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,952.09 / $40,172.51 / $67,298.34
| Facility | | $29,952.09 | $40,172.51 | $67,298.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,221.56 / $35,309.69 / $43,453.21
| Facility | | $24,221.56 | $35,309.69 | $43,453.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,587.03 / $39,787.82 / $63,322.20
| Facility | | $12,587.03 | $39,787.82 | $63,322.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,238.15 / $44,982.05 / $61,001.30
| Facility | | $32,238.15 | $44,982.05 | $61,001.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,361.19 / $84,301.78
| Facility | | $3,775.00 | $32,361.19 | $84,301.78 |