- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,772.90 / $53,625.70 / $79,549.00
| Facility | | $29,772.90 | $53,625.70 | $79,549.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $62,486.87 / $93,396.00
| Facility | | $20,946.00 | $62,486.87 | $93,396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,856.12 / $47,679.54 / $71,802.70
| Facility | | $25,856.12 | $47,679.54 | $71,802.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,599.64 / $53,599.64 / $65,085.28
| Facility | | $53,599.64 | $53,599.64 | $65,085.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,679.31 / $65,517.06 / $102,377.18
| Facility | | $35,679.31 | $65,517.06 | $102,377.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,333.80 / $53,180.00 / $79,549.00
| Facility | | $29,333.80 | $53,180.00 | $79,549.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,502.48 / $45,564.00 / $68,658.77
| Facility | | $26,502.48 | $45,564.00 | $68,658.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,065.47 / $37,864.81
| Facility | | $2,621.40 | $26,065.47 | $37,864.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,632.48 / $39,872.82 / $74,372.02
| Facility | | $13,632.48 | $39,872.82 | $74,372.02 |