- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,792.70 / $52,636.50 / $79,494.30
| Facility | | $28,792.70 | $52,636.50 | $79,494.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $65,901.12 / $92,865.00
| Facility | | $20,946.00 | $65,901.12 | $92,865.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $46,800.06 / $71,033.41
| Facility | | $25,432.00 | $46,800.06 | $71,033.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,610.96 / $52,610.96 / $63,884.74
| Facility | | $52,610.96 | $52,610.96 | $63,884.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,496.36 / $80,568.75 / $101,211.66
| Facility | | $37,496.36 | $80,568.75 | $101,211.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,004.00 / $52,199.10 / $79,096.00
| Facility | | $28,004.00 | $52,199.10 | $79,096.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,387.37 / $43,166.66 / $68,372.53
| Facility | | $24,387.37 | $43,166.66 | $68,372.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $25,954.27 / $37,700.32
| Facility | | $2,621.40 | $25,954.27 | $37,700.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,849.71 / $39,925.96 / $70,062.80
| Facility | | $14,849.71 | $39,925.96 | $70,062.80 |