- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,380.00 / $40,573.30 / $55,741.00
| Facility | | $22,380.00 | $40,573.30 | $55,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,871.00 / $43,576.23 / $63,187.00
| Facility | | $20,871.00 | $43,576.23 | $63,187.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,955.82 / $34,247.46 / $53,267.05
| Facility | | $18,955.82 | $34,247.46 | $53,267.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,893.44 / $40,893.44 / $49,656.34
| Facility | | $40,893.44 | $40,893.44 | $49,656.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,885.08 / $61,599.60 / $85,555.63
| Facility | | $37,885.08 | $61,599.60 | $85,555.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,340.30 / $40,573.30 / $55,406.40
| Facility | | $22,340.30 | $40,573.30 | $55,406.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,955.82 / $33,222.51 / $52,314.24
| Facility | | $18,955.82 | $33,222.51 | $52,314.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,506.56 / $28,082.96
| Facility | | $2,621.40 | $19,506.56 | $28,082.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,786.00 / $31,706.20 / $52,177.74
| Facility | | $3,786.00 | $31,706.20 | $52,177.74 |