- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $53,703.18 / $77,624.71
| Facility | | $30,902.95 | $53,703.18 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $60,255.96 / $89,125.09
| Facility | | $28,840.32 | $60,255.96 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $50,118.72 / $70,794.58
| Facility | | $29,512.09 | $50,118.72 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $57,543.99 / $70,794.58
| Facility | | $57,543.99 | $57,543.99 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $53,703.18 / $67,608.30
| Facility | | $23,988.33 | $53,703.18 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $58,884.37 / $95,499.26
| Facility | | $52,480.75 | $58,884.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $53,703.18 / $75,857.76
| Facility | | $29,512.09 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $30,199.52 / $47,863.01
| Facility | | $23,442.29 | $30,199.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $38,904.51 / $69,183.10
| Facility | | $5,370.32 | $38,904.51 | $69,183.10 |