- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,235.30 / $49,375.60 / $67,426.80
| Facility | | $27,235.30 | $49,375.60 | $67,426.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $44,679.61 / $69,553.00
| Facility | | $20,946.00 | $44,679.61 | $69,553.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,006.41 / $44,268.63 / $63,663.71
| Facility | | $24,006.41 | $44,268.63 | $63,663.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,765.21 / $49,765.21 / $60,429.18
| Facility | | $49,765.21 | $49,765.21 | $60,429.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,741.33 / $56,792.00 / $61,179.88
| Facility | | $50,741.33 | $56,792.00 | $61,179.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,186.90 / $47,424.60 / $66,726.10
| Facility | | $27,186.90 | $47,424.60 | $66,726.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,068.25 / $40,771.35 / $62,966.06
| Facility | | $23,068.25 | $40,771.35 | $62,966.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,069.17 / $31,864.10
| Facility | | $2,621.40 | $22,069.17 | $31,864.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,801.86 / $37,766.35 / $69,051.57
| Facility | | $13,801.86 | $37,766.35 | $69,051.57 |