- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,356.30 / $86,394.60 / $104,319.00
| Facility | | $45,356.30 | $86,394.60 | $104,319.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $78,012.75 / $116,549.28
| Facility | | $12,397.00 | $78,012.75 | $116,549.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,758.80 / $65,933.72 / $78,775.96
| Facility | | $53,758.80 | $65,933.72 | $78,775.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,881.19 / $56,179.80 / $71,546.42
| Facility | | $39,881.19 | $56,179.80 | $71,546.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,610.68 / $68,875.80 / $107,712.55
| Facility | | $39,610.68 | $68,875.80 | $107,712.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,197.95 / $61,573.00 / $76,705.88
| Facility | | $44,197.95 | $61,573.00 | $76,705.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $76,223.89 / $109,671.41
| Facility | | $3,775.00 | $76,223.89 | $109,671.41 |