- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,186.00 / $59,276.60 / $80,947.39
| Facility | | $33,186.00 | $59,276.60 | $80,947.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $57,064.00 / $85,143.00
| Facility | | $20,946.00 | $57,064.00 | $85,143.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,693.97 / $50,034.66 / $76,429.75
| Facility | | $27,693.97 | $50,034.66 | $76,429.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,744.28 / $59,744.28 / $72,546.63
| Facility | | $59,744.28 | $59,744.28 | $72,546.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,852.26 / $93,149.01 / $112,185.43
| Facility | | $59,852.26 | $93,149.01 | $112,185.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,696.60 / $58,011.20 / $80,106.20
| Facility | | $32,696.60 | $58,011.20 | $80,106.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,693.97 / $48,461.11 / $75,592.22
| Facility | | $27,693.97 | $48,461.11 | $75,592.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,927.37 / $39,126.30
| Facility | | $2,621.40 | $26,927.37 | $39,126.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,863.13 / $45,701.95 / $82,898.00
| Facility | | $16,863.13 | $45,701.95 | $82,898.00 |