- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,620.00 / $56,479.30 / $77,127.39
| Facility | | $31,620.00 | $56,479.30 | $77,127.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,524.12 / $82,211.84
| Facility | | $20,946.00 | $58,524.12 | $82,211.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,387.06 / $48,559.00 / $72,822.97
| Facility | | $26,387.06 | $48,559.00 | $72,822.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,924.90 / $56,924.90 / $69,123.09
| Facility | | $56,924.90 | $56,924.90 | $69,123.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,523.64 / $74,792.47 / $90,441.35
| Facility | | $58,523.64 | $74,792.47 | $90,441.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,153.60 / $56,479.30 / $76,325.89
| Facility | | $31,153.60 | $56,479.30 | $76,325.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,387.06 / $46,174.18 / $72,494.12
| Facility | | $26,387.06 | $46,174.18 | $72,494.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,305.91 / $38,220.47
| Facility | | $2,621.40 | $26,305.91 | $38,220.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,067.34 / $43,545.23 / $78,985.97
| Facility | | $16,067.34 | $43,545.23 | $78,985.97 |