- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,981.90 / $52,382.60 / $78,018.00
| Facility | | $29,981.90 | $52,382.60 | $78,018.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $84,722.17 / $123,739.36
| Facility | | $20,946.00 | $84,722.17 | $123,739.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $46,485.36 / $70,690.80
| Facility | | $25,432.00 | $46,485.36 | $70,690.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,357.20 / $52,357.20 / $63,576.60
| Facility | | $52,357.20 | $52,357.20 | $63,576.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,366.00 / $78,366.00 / $78,366.00
| Facility | | $78,366.00 | $78,366.00 | $78,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,653.80 / $51,947.30 / $75,704.70
| Facility | | $28,653.80 | $51,947.30 | $75,704.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,888.15 / $42,535.85 / $70,145.52
| Facility | | $25,888.15 | $42,535.85 | $70,145.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $27,004.63 / $39,238.56
| Facility | | $2,621.40 | $27,004.63 | $39,238.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,778.09 / $40,051.12 / $72,648.07
| Facility | | $14,778.09 | $40,051.12 | $72,648.07 |