- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,110.50 / $60,027.00 / $81,972.10
| Facility | | $33,110.50 | $60,027.00 | $81,972.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $56,308.98 / $84,483.72
| Facility | | $20,946.00 | $56,308.98 | $84,483.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.00 / $50,668.08 / $77,397.33
| Facility | | $27,534.00 | $50,668.08 | $77,397.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,500.62 / $60,500.62 / $73,465.03
| Facility | | $60,500.62 | $60,500.62 | $73,465.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,676.98 / $57,527.18 / $157,304.24
| Facility | | $35,676.98 | $57,527.18 | $157,304.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,051.69 / $57,655.10 / $81,120.30
| Facility | | $33,051.69 | $57,655.10 | $81,120.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.00 / $49,074.61 / $76,549.19
| Facility | | $27,534.00 | $49,074.61 | $76,549.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $27,162.20 / $39,467.51
| Facility | | $2,621.40 | $27,162.20 | $39,467.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,779.21 / $46,280.52 / $83,947.46
| Facility | | $16,779.21 | $46,280.52 | $83,947.46 |