- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,090.60 / $46,602.80 / $63,640.30
| Facility | | $26,090.60 | $46,602.80 | $63,640.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $47,952.00 / $68,807.00
| Facility | | $20,946.00 | $47,952.00 | $68,807.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $41,782.62 / $61,389.18
| Facility | | $23,864.00 | $41,782.62 | $61,389.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,970.54 / $46,970.54 / $57,035.65
| Facility | | $46,970.54 | $46,970.54 | $57,035.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,332.31 / $46,356.29 / $102,412.48
| Facility | | $22,332.31 | $46,356.29 | $102,412.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,705.80 / $46,602.80 / $63,640.30
| Facility | | $25,705.80 | $46,602.80 | $63,640.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,224.71 / $38,159.64 / $60,088.54
| Facility | | $23,224.71 | $38,159.64 | $60,088.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,408.89 / $32,365.37
| Facility | | $2,621.40 | $22,408.89 | $32,365.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,257.68 / $35,930.55 / $65,173.83
| Facility | | $13,257.68 | $35,930.55 | $65,173.83 |