- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $50,118.72 / $72,443.60
| Facility | | $27,542.29 | $50,118.72 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $57,543.99 / $79,432.82
| Facility | | $20,892.96 | $57,543.99 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $46,773.51 / $67,608.30
| Facility | | $26,302.68 | $46,773.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $64,565.42
| Facility | | $53,703.18 | $53,703.18 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $50,118.72 / $63,095.73
| Facility | | $21,877.62 | $50,118.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $63,095.73 / $831,763.77
| Facility | | $12,882.50 | $63,095.73 | $831,763.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $47,863.01 / $70,794.58
| Facility | | $27,542.29 | $47,863.01 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $26,915.35 / $43,651.58
| Facility | | $22,387.21 | $26,915.35 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $35,481.34 / $63,095.73
| Facility | | $5,370.32 | $35,481.34 | $63,095.73 |