- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,640.40 / $42,226.20 / $62,310.00
| Facility | | $23,640.40 | $42,226.20 | $62,310.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $53,708.50 / $82,028.95
| Facility | | $20,946.00 | $53,708.50 | $82,028.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,604.67 / $37,858.68 / $56,800.06
| Facility | | $22,604.67 | $37,858.68 | $56,800.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,559.38 / $42,559.38 / $51,679.25
| Facility | | $42,559.38 | $42,559.38 | $51,679.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,351.32 / $71,673.08 / $401,739.71
| Facility | | $44,351.32 | $71,673.08 | $401,739.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,291.70 / $42,226.20 / $61,537.80
| Facility | | $23,291.70 | $42,226.20 | $61,537.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,269.36 / $34,867.80 / $54,445.42
| Facility | | $21,269.36 | $34,867.80 | $54,445.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,769.78 / $29,946.85
| Facility | | $2,621.40 | $20,769.78 | $29,946.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,012.60 / $32,556.19 / $59,053.14
| Facility | | $12,012.60 | $32,556.19 | $59,053.14 |