- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,407.10 / $42,435.50 / $57,949.40
| Facility | | $23,407.10 | $42,435.50 | $57,949.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,975.32 / $33,975.32 / $33,975.32
| Facility | | $33,975.32 | $33,975.32 | $33,975.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $43,786.61 / $63,663.00
| Facility | | $20,946.00 | $43,786.61 | $63,663.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,480.49 / $38,046.30 / $54,715.25
| Facility | | $22,480.49 | $38,046.30 | $54,715.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,770.30 / $42,770.30 / $51,935.36
| Facility | | $42,770.30 | $42,770.30 | $51,935.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,135.04 / $45,283.90 / $62,769.01
| Facility | | $28,135.04 | $45,283.90 | $62,769.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,365.60 / $40,758.69 / $57,949.40
| Facility | | $23,365.60 | $40,758.69 | $57,949.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,147.88 / $35,040.60 / $54,115.66
| Facility | | $21,147.88 | $35,040.60 | $54,115.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,703.91 / $28,374.16
| Facility | | $2,621.40 | $19,703.91 | $28,374.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,072.14 / $32,717.54 / $59,345.80
| Facility | | $12,072.14 | $32,717.54 | $59,345.80 |