- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,088.40 / $50,922.20 / $69,538.80
| Facility | | $28,088.40 | $50,922.20 | $69,538.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $50,027.26 / $75,017.00
| Facility | | $20,946.00 | $50,027.26 | $75,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,377.30 / $45,568.06 / $65,657.88
| Facility | | $25,377.30 | $45,568.06 | $65,657.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,324.03 / $51,324.03 / $62,322.03
| Facility | | $51,324.03 | $51,324.03 | $62,322.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,728.83 / $54,722.37 / $85,305.13
| Facility | | $33,728.83 | $54,722.37 | $85,305.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,038.50 / $48,910.10 / $69,538.80
| Facility | | $28,038.50 | $48,910.10 | $69,538.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $42,048.45 / $64,938.38
| Facility | | $23,864.00 | $42,048.45 | $64,938.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,683.93 / $32,772.16
| Facility | | $2,621.40 | $22,683.93 | $32,772.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,486.47 / $39,260.79 / $71,214.50
| Facility | | $14,486.47 | $39,260.79 | $71,214.50 |