- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,336.80 / $45,631.70 / $62,314.10
| Facility | | $26,336.80 | $45,631.70 | $62,314.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $43,244.83 / $65,200.00
| Facility | | $20,946.00 | $43,244.83 | $65,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,984.71 / $40,911.94 / $58,836.39
| Facility | | $22,984.71 | $40,911.94 | $58,836.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,991.75 / $45,991.75 / $55,847.12
| Facility | | $45,991.75 | $45,991.75 | $55,847.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,277.36 / $34,277.36 / $37,612.15
| Facility | | $34,277.36 | $34,277.36 | $37,612.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,170.10 / $44,657.60 / $61,666.60
| Facility | | $25,170.10 | $44,657.60 | $61,666.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,740.74 / $37,364.46 / $58,191.64
| Facility | | $22,740.74 | $37,364.46 | $58,191.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,408.97 / $29,414.47
| Facility | | $2,621.40 | $20,408.97 | $29,414.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,755.33 / $35,181.82 / $63,815.71
| Facility | | $12,755.33 | $35,181.82 | $63,815.71 |