- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,259.20 / $42,167.30 / $57,583.20
| Facility | | $23,259.20 | $42,167.30 | $57,583.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,042.00 / $41,734.11 / $59,454.00
| Facility | | $20,042.00 | $41,734.11 | $59,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,501.75 / $35,592.96 / $54,369.54
| Facility | | $20,501.75 | $35,592.96 | $54,369.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,500.06 / $42,500.06 / $51,607.21
| Facility | | $42,500.06 | $42,500.06 | $51,607.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,916.43 / $48,091.63 / $59,615.61
| Facility | | $15,916.43 | $48,091.63 | $59,615.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,218.00 / $40,501.19 / $56,984.80
| Facility | | $23,218.00 | $40,501.19 | $56,984.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,014.26 / $34,527.75 / $53,773.74
| Facility | | $21,014.26 | $34,527.75 | $53,773.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,529.57 / $26,641.41
| Facility | | $2,621.40 | $18,529.57 | $26,641.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,995.86 / $32,510.82 / $58,970.83
| Facility | | $11,995.86 | $32,510.82 | $58,970.83 |