- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,261.50 / $64,216.20 / $113,085.00
| Facility | | $40,261.50 | $64,216.20 | $113,085.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,013.28 / $51,270.23 / $75,709.13
| Facility | | $25,013.28 | $51,270.23 | $75,709.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,228.30 / $49,931.55 / $83,647.00
| Facility | | $37,228.30 | $49,931.55 | $83,647.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,234.79 / $44,102.85 / $54,574.27
| Facility | | $27,234.79 | $44,102.85 | $54,574.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,178.03 / $47,216.06 / $69,751.75
| Facility | | $14,178.03 | $47,216.06 | $69,751.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,244.92 / $50,412.01 / $68,560.34
| Facility | | $35,244.92 | $50,412.01 | $68,560.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,222.64 / $104,781.07
| Facility | | $3,775.00 | $40,222.64 | $104,781.07 |