- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,140.30 / $59,690.90 / $90,148.20
| Facility | | $33,140.30 | $59,690.90 | $90,148.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $77,474.28 / $112,942.83
| Facility | | $20,946.00 | $77,474.28 | $112,942.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,655.78 / $49,965.66 / $76,324.36
| Facility | | $27,655.78 | $49,965.66 | $76,324.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,661.89 / $59,661.89 / $72,446.59
| Facility | | $59,661.89 | $59,661.89 | $72,446.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,423.49 / $27,423.49 / $27,423.49
| Facility | | $27,423.49 | $27,423.49 | $27,423.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,651.50 / $59,194.80 / $90,148.20
| Facility | | $32,651.50 | $59,194.80 | $90,148.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,655.78 / $48,470.31 / $75,487.97
| Facility | | $27,655.78 | $48,470.31 | $75,487.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,531.15 / $38,550.57
| Facility | | $2,621.40 | $26,531.15 | $38,550.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,839.88 / $45,638.92 / $82,783.67
| Facility | | $16,839.88 | $45,638.92 | $82,783.67 |