- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,769.80 / $44,243.70 / $60,418.60
| Facility | | $24,769.80 | $44,243.70 | $60,418.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $51,343.46 / $67,669.00
| Facility | | $20,946.00 | $51,343.46 | $67,669.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,670.61 / $39,591.71 / $57,580.02
| Facility | | $20,670.61 | $39,591.71 | $57,580.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,592.76 / $44,592.76 / $54,148.36
| Facility | | $44,592.76 | $44,592.76 | $54,148.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,847.15 / $50,145.18 / $96,337.60
| Facility | | $5,847.15 | $50,145.18 | $96,337.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,404.50 / $44,243.70 / $60,418.60
| Facility | | $24,404.50 | $44,243.70 | $60,418.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,670.61 / $36,533.69 / $57,046.70
| Facility | | $20,670.61 | $36,533.69 | $57,046.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $21,047.74 / $30,356.98
| Facility | | $2,621.40 | $21,047.74 | $30,356.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,586.54 / $34,111.65 / $61,874.56
| Facility | | $12,586.54 | $34,111.65 | $61,874.56 |