- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,808.40 / $40,740.10 / $57,101.00
| Facility | | $22,808.40 | $40,740.10 | $57,101.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,594.00 / $42,755.10 / $61,502.00
| Facility | | $20,594.00 | $42,755.10 | $61,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,582.35 / $36,526.26 / $52,529.25
| Facility | | $21,582.35 | $36,526.26 | $52,529.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,061.53 / $41,061.53 / $49,860.43
| Facility | | $41,061.53 | $41,061.53 | $49,860.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,233.42 / $56,904.28 / $90,308.47
| Facility | | $50,233.42 | $56,904.28 | $90,308.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,472.00 / $39,870.40 / $55,634.20
| Facility | | $22,472.00 | $39,870.40 | $55,634.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,302.98 / $33,640.65 / $51,953.62
| Facility | | $20,302.98 | $33,640.65 | $51,953.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,701.32 / $26,894.82
| Facility | | $2,621.40 | $18,701.32 | $26,894.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,589.83 / $31,410.40 / $56,974.80
| Facility | | $11,589.83 | $31,410.40 | $56,974.80 |