- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,402.20 / $51,922.70 / $88,012.80
| Facility | | $28,402.20 | $51,922.70 | $88,012.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $78,455.70 / $108,280.88
| Facility | | $20,946.00 | $78,455.70 | $108,280.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,564.42 / $49,132.20 / $76,233.64
| Facility | | $27,564.42 | $49,132.20 | $76,233.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,897.46 / $51,897.46 / $63,018.35
| Facility | | $51,897.46 | $51,897.46 | $63,018.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,270.96 / $61,160.97 / $78,032.08
| Facility | | $41,270.96 | $61,160.97 | $78,032.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,351.80 / $51,491.20 / $88,358.00
| Facility | | $28,351.80 | $51,491.20 | $88,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,936.13 / $46,165.37 / $67,109.00
| Facility | | $25,936.13 | $46,165.37 | $67,109.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,822.91 / $34,522.69
| Facility | | $2,621.40 | $23,822.91 | $34,522.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.32 / $45,340.20 / $73,732.94
| Facility | | $14,648.32 | $45,340.20 | $73,732.94 |