- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,562.00 / $47,444.80 / $64,790.10
| Facility | | $26,562.00 | $47,444.80 | $64,790.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $50,058.47 / $72,505.00
| Facility | | $20,946.00 | $50,058.47 | $72,505.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $42,537.52 / $61,827.64
| Facility | | $23,864.00 | $42,537.52 | $61,827.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,819.16 / $47,819.16 / $58,066.12
| Facility | | $47,819.16 | $47,819.16 | $58,066.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,497.89 / $48,634.42 / $201,490.42
| Facility | | $8,497.89 | $48,634.42 | $201,490.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,170.20 / $45,570.10 / $64,790.10
| Facility | | $26,170.20 | $45,570.10 | $64,790.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,644.31 / $39,177.00 / $61,174.16
| Facility | | $23,644.31 | $39,177.00 | $61,174.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,565.57 / $32,596.55
| Facility | | $2,621.40 | $22,565.57 | $32,596.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,497.20 / $36,579.71 / $66,351.33
| Facility | | $13,497.20 | $36,579.71 | $66,351.33 |