- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,292.60 / $61,253.20 / $83,646.60
| Facility | | $34,292.60 | $61,253.20 | $83,646.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $50,387.61 / $80,472.13
| Facility | | $20,946.00 | $50,387.61 | $80,472.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,781.27 / $54,812.76 / $78,978.33
| Facility | | $29,781.27 | $54,812.76 | $78,978.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,736.47 / $61,736.47 / $74,965.72
| Facility | | $61,736.47 | $61,736.47 | $74,965.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,021.22 / $62,859.39 / $166,698.07
| Facility | | $18,021.22 | $62,859.39 | $166,698.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,786.80 / $59,324.00 / $82,777.39
| Facility | | $33,786.80 | $59,324.00 | $82,777.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,525.76 / $50,579.10 / $78,112.86
| Facility | | $30,525.76 | $50,579.10 | $78,112.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $25,275.78 / $36,696.68
| Facility | | $2,621.40 | $25,275.78 | $36,696.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,980.96 / $53,936.05 / $78,802.24
| Facility | | $20,980.96 | $53,936.05 | $78,802.24 |