- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,746.50 / $57,656.40 / $78,734.89
| Facility | | $31,746.50 | $57,656.40 | $78,734.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,582.56 / $45,582.56 / $45,582.56
| Facility | | $45,582.56 | $45,582.56 | $45,582.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,573.42 / $85,357.00
| Facility | | $20,946.00 | $58,573.42 | $85,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,514.00 / $51,692.90 / $74,340.73
| Facility | | $30,514.00 | $51,692.90 | $74,340.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,111.31 / $58,111.31 / $70,563.74
| Facility | | $58,111.31 | $58,111.31 | $70,563.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,851.32 / $50,430.58 / $67,467.66
| Facility | | $29,851.32 | $50,430.58 | $67,467.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,803.70 / $53,942.90 / $77,916.70
| Facility | | $27,803.70 | $53,942.90 | $77,916.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,733.29 / $47,210.59 / $73,526.08
| Facility | | $28,733.29 | $47,210.59 | $73,526.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,201.47 / $38,065.98
| Facility | | $2,621.40 | $26,201.47 | $38,065.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,402.22 / $44,100.13 / $80,632.17
| Facility | | $16,402.22 | $44,100.13 | $80,632.17 |