- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,263.10 / $47,613.20 / $66,105.00
| Facility | | $26,263.10 | $47,613.20 | $66,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $52,729.07 / $74,936.00
| Facility | | $20,946.00 | $52,729.07 | $74,936.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,982.79 / $42,688.49 / $61,996.28
| Facility | | $23,982.79 | $42,688.49 | $61,996.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,988.88 / $47,988.88 / $58,272.21
| Facility | | $47,988.88 | $47,988.88 | $58,272.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,772.64 / $46,231.50 / $74,051.47
| Facility | | $17,772.64 | $46,231.50 | $74,051.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,543.80 / $47,613.20 / $65,020.00
| Facility | | $25,543.80 | $47,613.20 | $65,020.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $38,986.96 / $61,391.28
| Facility | | $23,864.00 | $38,986.96 | $61,391.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,627.34 / $32,687.69
| Facility | | $2,621.40 | $22,627.34 | $32,687.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $37,207.54 / $61,100.05
| Facility | | $5,404.00 | $37,207.54 | $61,100.05 |