- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,912.69 / $63,955.70 / $87,337.10
| Facility | | $36,912.69 | $63,955.70 | $87,337.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $65,825.14 / $93,410.00
| Facility | | $20,946.00 | $65,825.14 | $93,410.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,095.22 / $53,984.22 / $82,462.85
| Facility | | $31,095.22 | $53,984.22 | $82,462.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,460.29 / $64,460.29 / $78,273.21
| Facility | | $64,460.29 | $64,460.29 | $78,273.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,575.03 / $72,129.11 / $114,370.68
| Facility | | $53,575.03 | $72,129.11 | $114,370.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,277.50 / $62,590.40 / $86,726.00
| Facility | | $35,277.50 | $62,590.40 | $86,726.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,872.56 / $52,286.46 / $80,139.84
| Facility | | $31,872.56 | $52,286.46 | $80,139.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $29,077.55 / $42,250.58
| Facility | | $2,621.40 | $29,077.55 | $42,250.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $49,978.43 / $82,247.70
| Facility | | $5,130.00 | $49,978.43 | $82,247.70 |