- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,458.50 / $50,832.30 / $69,416.00
| Facility | | $28,458.50 | $50,832.30 | $69,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $53,313.11 / $74,832.00
| Facility | | $20,946.00 | $53,313.11 | $74,832.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $45,564.00 / $65,541.94
| Facility | | $25,432.00 | $45,564.00 | $65,541.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,233.40 / $51,233.40 / $62,211.98
| Facility | | $51,233.40 | $51,233.40 | $62,211.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,320.99 / $56,278.07 / $77,749.77
| Facility | | $36,320.99 | $56,278.07 | $77,749.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,038.80 / $50,832.30 / $69,416.00
| Facility | | $28,038.80 | $50,832.30 | $69,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,332.49 / $41,622.86 / $64,475.29
| Facility | | $25,332.49 | $41,622.86 | $64,475.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,477.96 / $33,992.53
| Facility | | $2,621.40 | $23,477.96 | $33,992.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,460.89 / $44,564.16 / $72,789.48
| Facility | | $14,460.89 | $44,564.16 | $72,789.48 |