- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,466.50 / $49,321.70 / $67,353.10
| Facility | | $28,466.50 | $49,321.70 | $67,353.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,176.00 / $38,691.93 / $59,832.00
| Facility | | $19,176.00 | $38,691.93 | $59,832.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $44,220.25 / $63,594.14
| Facility | | $23,864.00 | $44,220.25 | $63,594.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,710.83 / $49,710.83 / $60,363.15
| Facility | | $49,710.83 | $49,710.83 | $60,363.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,032.76 / $44,858.52 / $70,711.82
| Facility | | $41,032.76 | $44,858.52 | $70,711.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,205.50 / $46,145.00 / $66,653.20
| Facility | | $27,205.50 | $46,145.00 | $66,653.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,550.58 / $40,385.90 / $62,897.26
| Facility | | $22,550.58 | $40,385.90 | $62,897.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,491.49 / $28,060.73
| Facility | | $2,621.40 | $19,491.49 | $28,060.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,786.78 / $38,026.76 / $68,976.12
| Facility | | $13,786.78 | $38,026.76 | $68,976.12 |