- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,863.50 / $45,075.80 / $61,555.00
| Facility | | $24,863.50 | $45,075.80 | $61,555.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $51,108.11 / $68,751.00
| Facility | | $20,946.00 | $51,108.11 | $68,751.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,915.86 / $38,047.98 / $58,119.67
| Facility | | $21,915.86 | $38,047.98 | $58,119.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,431.49 / $45,431.49 / $55,166.81
| Facility | | $45,431.49 | $45,431.49 | $55,166.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,672.02 / $50,668.56 / $72,493.37
| Facility | | $21,672.02 | $50,668.56 | $72,493.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,182.50 / $45,075.80 / $61,555.00
| Facility | | $24,182.50 | $45,075.80 | $61,555.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,463.72 / $36,909.30 / $57,482.78
| Facility | | $22,463.72 | $36,909.30 | $57,482.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,836.07 / $30,044.66
| Facility | | $2,621.40 | $20,836.07 | $30,044.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,823.27 / $34,753.25 / $63,038.33
| Facility | | $12,823.27 | $34,753.25 | $63,038.33 |