- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,631.90 / $52,667.20 / $73,490.50
| Facility | | $29,631.90 | $52,667.20 | $73,490.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $46,010.87 / $74,021.44
| Facility | | $20,946.00 | $46,010.87 | $74,021.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,808.96 / $50,461.76 / $79,675.60
| Facility | | $28,808.96 | $50,461.76 | $79,675.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,240.63 / $54,240.63 / $65,863.63
| Facility | | $54,240.63 | $54,240.63 | $65,863.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,362.83 / $56,300.12 / $78,627.06
| Facility | | $34,362.83 | $56,300.12 | $78,627.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,223.00 / $50,303.80 / $73,381.00
| Facility | | $28,223.00 | $50,303.80 | $73,381.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,107.15 / $44,503.78 / $69,389.03
| Facility | | $27,107.15 | $44,503.78 | $69,389.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,929.21 / $34,686.07
| Facility | | $2,621.40 | $23,929.21 | $34,686.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,309.70 / $40,705.16 / $75,261.42
| Facility | | $15,309.70 | $40,705.16 | $75,261.42 |