- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,941.60 / $39,520.19 / $57,832.50
| Facility | | $21,941.60 | $39,520.19 | $57,832.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,429.49 / $12,429.49 / $12,429.49
| Facility | | $12,429.49 | $12,429.49 | $12,429.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $45,541.17 / $63,562.00
| Facility | | $20,946.00 | $45,541.17 | $63,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,762.15 / $35,138.16 / $50,532.98
| Facility | | $20,762.15 | $35,138.16 | $50,532.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,501.06 / $39,501.06 / $47,965.57
| Facility | | $39,501.06 | $39,501.06 | $47,965.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,224.05 / $38,439.73 / $55,654.96
| Facility | | $23,224.05 | $38,439.73 | $55,654.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,618.00 / $39,191.80 / $56,013.00
| Facility | | $21,618.00 | $39,191.80 | $56,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,531.40 / $32,362.20 / $49,979.22
| Facility | | $19,531.40 | $32,362.20 | $49,979.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,278.74 / $26,271.30
| Facility | | $2,621.40 | $18,278.74 | $26,271.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,149.38 / $30,216.71 / $54,809.58
| Facility | | $11,149.38 | $30,216.71 | $54,809.58 |