- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,141.30 / $59,154.00 / $80,779.89
| Facility | | $34,141.30 | $59,154.00 | $80,779.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $52,355.74 / $80,016.00
| Facility | | $20,946.00 | $52,355.74 | $80,016.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,337.23 / $53,035.58 / $80,497.71
| Facility | | $31,337.23 | $53,035.58 | $80,497.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,620.70 / $59,620.70 / $72,396.56
| Facility | | $59,620.70 | $59,620.70 | $72,396.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,396.64 / $68,396.64 / $68,396.64
| Facility | | $68,396.64 | $68,396.64 | $68,396.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,628.90 / $57,891.20 / $79,940.50
| Facility | | $32,628.90 | $57,891.20 | $79,940.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,530.00 / $48,845.70 / $75,435.85
| Facility | | $29,530.00 | $48,845.70 | $75,435.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $27,283.82 / $39,644.24
| Facility | | $2,621.40 | $27,283.82 | $39,644.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,828.25 / $45,607.41 / $79,397.78
| Facility | | $16,828.25 | $45,607.41 | $79,397.78 |