- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $48,977.88 / $70,794.58
| Facility | | $27,542.29 | $48,977.88 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $54,954.09 / $83,176.38
| Facility | | $27,542.29 | $54,954.09 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $44,668.36 / $61,659.50
| Facility | | $25,703.96 | $44,668.36 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $63,095.73
| Facility | | $52,480.75 | $52,480.75 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $48,977.88 / $66,069.34
| Facility | | $21,877.62 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $47,863.01 / $63,095.73
| Facility | | $30,199.52 | $47,863.01 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $45,708.82 / $69,183.10
| Facility | | $26,915.35 | $45,708.82 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $23,442.29 / $40,738.03
| Facility | | $20,417.38 | $23,442.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $35,481.34 / $61,659.50
| Facility | | $5,370.32 | $35,481.34 | $61,659.50 |