- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,434.30 / $63,126.80 / $86,205.20
| Facility | | $36,434.30 | $63,126.80 | $86,205.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $69,910.00 / $94,654.00
| Facility | | $20,946.00 | $69,910.00 | $94,654.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,692.22 / $53,284.56 / $81,394.10
| Facility | | $30,692.22 | $53,284.56 | $81,394.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,624.85 / $63,624.85 / $77,258.75
| Facility | | $63,624.85 | $63,624.85 | $77,258.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,242.22 / $64,792.32 / $161,465.20
| Facility | | $46,242.22 | $64,792.32 | $161,465.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,820.30 / $63,126.80 / $86,205.20
| Facility | | $34,820.30 | $63,126.80 | $86,205.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,459.47 / $51,689.88 / $80,502.16
| Facility | | $31,459.47 | $51,689.88 | $80,502.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $28,851.14 / $41,921.60
| Facility | | $2,621.40 | $28,851.14 | $41,921.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,958.43 / $48,670.43 / $88,282.48
| Facility | | $17,958.43 | $48,670.43 | $88,282.48 |