- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,012.00 / $43,336.30 / $59,179.50
| Facility | | $25,012.00 | $43,336.30 | $59,179.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $38,386.94 / $57,538.18
| Facility | | $20,946.00 | $38,386.94 | $57,538.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,828.51 / $38,853.96 / $56,131.82
| Facility | | $21,828.51 | $38,853.96 | $56,131.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,678.23 / $43,678.23 / $53,037.86
| Facility | | $43,678.23 | $43,678.23 | $53,037.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,951.05 / $52,767.59 / $64,333.68
| Facility | | $21,951.05 | $52,767.59 | $64,333.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,904.00 / $41,623.90 / $58,564.60
| Facility | | $23,904.00 | $41,623.90 | $58,564.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,246.68 / $35,784.44 / $55,876.76
| Facility | | $20,246.68 | $35,784.44 | $55,876.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,530.25 / $29,593.41
| Facility | | $2,621.40 | $20,530.25 | $29,593.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,113.70 / $33,412.07 / $60,605.60
| Facility | | $12,113.70 | $33,412.07 | $60,605.60 |