- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,180.50 / $60,897.00 / $107,240.00
| Facility | | $38,180.50 | $60,897.00 | $107,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,419.08 / $51,726.20 / $75,813.06
| Facility | | $20,419.08 | $51,726.20 | $75,813.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,304.06 / $47,350.71 / $79,323.50
| Facility | | $35,304.06 | $47,350.71 | $79,323.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,454.98 / $41,853.90 / $51,047.91
| Facility | | $28,454.98 | $41,853.90 | $51,047.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,605.59 / $45,613.11 / $70,950.44
| Facility | | $16,605.59 | $45,613.11 | $70,950.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,850.61 / $50,217.20 / $68,273.02
| Facility | | $35,850.61 | $50,217.20 | $68,273.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,143.62 / $104,220.73
| Facility | | $3,775.00 | $38,143.62 | $104,220.73 |