- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,537.60 / $52,759.90 / $72,048.20
| Facility | | $29,537.60 | $52,759.90 | $72,048.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,657.68 / $80,381.67
| Facility | | $20,946.00 | $58,657.68 | $80,381.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $47,212.47 / $68,027.27
| Facility | | $25,432.00 | $47,212.47 | $68,027.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,176.15 / $53,176.15 / $64,571.04
| Facility | | $53,176.15 | $53,176.15 | $64,571.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,622.89 / $67,729.83 / $86,531.82
| Facility | | $18,622.89 | $67,729.83 | $86,531.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,102.00 / $52,759.90 / $71,650.00
| Facility | | $29,102.00 | $52,759.90 | $71,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,649.36 / $43,201.19 / $67,862.84
| Facility | | $24,649.36 | $43,201.19 | $67,862.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $24,691.49 / $35,828.64
| Facility | | $2,621.40 | $24,691.49 | $35,828.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,009.24 / $40,677.60 / $73,784.41
| Facility | | $15,009.24 | $40,677.60 | $73,784.41 |