- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,819.60 / $71,486.20 / $125,887.00
| Facility | | $44,819.60 | $71,486.20 | $125,887.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,871.42 / $61,182.34 / $88,941.58
| Facility | | $26,871.42 | $61,182.34 | $88,941.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,442.96 / $55,584.36 / $93,116.79
| Facility | | $41,442.96 | $55,584.36 | $93,116.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,777.55 / $45,738.50 / $57,008.57
| Facility | | $31,777.55 | $45,738.50 | $57,008.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,342.01 / $55,303.71 / $83,236.91
| Facility | | $15,342.01 | $55,303.71 | $83,236.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,058.85 / $59,514.10 / $80,979.53
| Facility | | $42,058.85 | $59,514.10 | $80,979.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,776.29 / $116,643.46
| Facility | | $3,775.00 | $44,776.29 | $116,643.46 |