- 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
- $17,771.00 / $36,866.53 / $53,190.02
| Facility | | $17,771.00 | $36,866.53 | $53,190.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,279.52 / $35,592.96 / $54,369.54
| Facility | | $19,279.52 | $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
- $13,833.66 / $56,013.57 / $69,977.53
| Facility | | $13,833.66 | $56,013.57 | $69,977.53 |
- 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
- $19,279.52 / $34,527.75 / $53,773.74
| Facility | | $19,279.52 | $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 |