- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,238.90 / $49,382.20 / $67,435.70
| Facility | | $27,238.90 | $49,382.20 | $67,435.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $41,772.40 / $63,856.00
| Facility | | $20,946.00 | $41,772.40 | $63,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,009.59 / $44,274.49 / $63,672.14
| Facility | | $24,009.59 | $44,274.49 | $63,672.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,771.80 / $49,771.80 / $60,437.18
| Facility | | $49,771.80 | $49,771.80 | $60,437.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,696.08 / $75,776.17 / $85,830.95
| Facility | | $25,696.08 | $75,776.17 | $85,830.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,190.50 / $47,333.00 / $66,734.89
| Facility | | $27,190.50 | $47,333.00 | $66,734.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,071.30 / $40,435.43 / $62,974.40
| Facility | | $23,071.30 | $40,435.43 | $62,974.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,002.13 / $31,765.18
| Facility | | $2,621.40 | $22,002.13 | $31,765.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.69 / $38,073.40 / $69,060.71
| Facility | | $13,803.69 | $38,073.40 | $69,060.71 |