- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,371.80 / $40,295.10 / $57,111.20
| Facility | | $22,371.80 | $40,295.10 | $57,111.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,586.00 / $45,802.46 / $66,157.00
| Facility | | $20,586.00 | $45,802.46 | $66,157.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,391.64 / $35,827.08 / $51,523.74
| Facility | | $21,391.64 | $35,827.08 | $51,523.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,275.53 / $40,275.53 / $48,906.00
| Facility | | $40,275.53 | $40,275.53 | $48,906.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,148.33 / $44,006.98 / $59,029.20
| Facility | | $29,148.33 | $44,006.98 | $59,029.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,041.80 / $39,960.19 / $56,651.00
| Facility | | $22,041.80 | $39,960.19 | $56,651.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,127.99 / $32,996.69 / $51,184.35
| Facility | | $20,127.99 | $32,996.69 | $51,184.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,763.84 / $26,987.07
| Facility | | $2,621.40 | $18,763.84 | $26,987.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,367.97 / $30,809.14 / $55,884.19
| Facility | | $11,367.97 | $30,809.14 | $55,884.19 |