- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,347.00 / $43,852.80 / $65,048.00
| Facility | | $24,347.00 | $43,852.80 | $65,048.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $56,221.83 / $85,370.30
| Facility | | $20,946.00 | $56,221.83 | $85,370.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,280.32 / $40,269.74 / $59,179.68
| Facility | | $23,280.32 | $40,269.74 | $59,179.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,831.48 / $43,831.48 / $53,223.94
| Facility | | $43,831.48 | $43,831.48 | $53,223.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,987.01 / $46,387.84 / $62,528.22
| Facility | | $36,987.01 | $46,387.84 | $62,528.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,987.90 / $43,852.80 / $65,048.00
| Facility | | $23,987.90 | $43,852.80 | $65,048.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,905.10 / $35,910.00 / $57,725.62
| Facility | | $21,905.10 | $35,910.00 | $57,725.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,044.31 / $31,827.42
| Facility | | $2,621.40 | $22,044.31 | $31,827.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,371.66 / $38,293.36 / $69,378.12
| Facility | | $12,371.66 | $38,293.36 | $69,378.12 |