- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,997.00 / $45,317.80 / $61,885.40
| Facility | | $24,997.00 | $45,317.80 | $61,885.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,066.00 / $41,602.69 / $60,620.56
| Facility | | $20,066.00 | $41,602.69 | $60,620.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $40,630.51 / $58,431.65
| Facility | | $23,864.00 | $40,630.51 | $58,431.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,675.37 / $45,675.37 / $55,462.95
| Facility | | $45,675.37 | $45,675.37 | $55,462.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.74 / $38,522.64 / $48,979.09
| Facility | | $23,442.74 | $38,522.64 | $48,979.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,952.60 / $43,527.10 / $61,242.40
| Facility | | $24,952.60 | $43,527.10 | $61,242.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,584.30 / $37,107.43 / $57,791.34
| Facility | | $22,584.30 | $37,107.43 | $57,791.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,667.75 / $28,320.81
| Facility | | $2,621.40 | $19,667.75 | $28,320.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,892.11 / $34,939.80 / $63,376.72
| Facility | | $12,892.11 | $34,939.80 | $63,376.72 |