- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,545.50 / $47,415.40 / $64,976.00
| Facility | | $26,545.50 | $47,415.40 | $64,976.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $49,819.60 / $70,459.63
| Facility | | $20,946.00 | $49,819.60 | $70,459.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $42,511.13 / $61,136.22
| Facility | | $23,864.00 | $42,511.13 | $61,136.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,789.50 / $47,789.50 / $58,030.10
| Facility | | $47,789.50 | $47,789.50 | $58,030.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,517.69 / $55,359.34 / $70,681.50
| Facility | | $29,517.69 | $55,359.34 | $70,681.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,154.00 / $47,415.40 / $64,749.90
| Facility | | $26,154.00 | $47,415.40 | $64,749.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,629.64 / $39,152.69 / $60,466.27
| Facility | | $23,629.64 | $39,152.69 | $60,466.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $21,627.00 / $31,211.68
| Facility | | $2,621.40 | $21,627.00 | $31,211.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,488.83 / $36,557.01 / $66,310.17
| Facility | | $13,488.83 | $36,557.01 | $66,310.17 |