- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,292.10 / $57,885.00 / $101,936.00
| Facility | | $36,292.10 | $57,885.00 | $101,936.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,362.90 / $44,869.36 / $65,664.53
| Facility | | $19,362.90 | $44,869.36 | $65,664.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,557.87 / $45,008.69 / $75,400.08
| Facility | | $33,557.87 | $45,008.69 | $75,400.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,834.94 / $37,484.69 / $48,141.58
| Facility | | $26,834.94 | $37,484.69 | $48,141.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,296.94 / $39,331.41 / $61,834.76
| Facility | | $10,296.94 | $39,331.41 | $61,834.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,244.54 / $43,765.32 / $59,501.34
| Facility | | $31,244.54 | $43,765.32 | $59,501.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,257.00 / $99,065.86
| Facility | | $3,775.00 | $36,257.00 | $99,065.86 |