- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,141.30 / $52,051.90 / $73,698.00
| Facility | | $29,141.30 | $52,051.90 | $73,698.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,852.90 / $86,068.00
| Facility | | $20,946.00 | $58,852.90 | $86,068.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $46,578.99 / $68,678.64
| Facility | | $25,432.00 | $46,578.99 | $68,678.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,462.66 / $52,462.66 / $63,704.65
| Facility | | $52,462.66 | $52,462.66 | $63,704.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,475.53 / $60,732.50 / $85,539.97
| Facility | | $33,475.53 | $60,732.50 | $85,539.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,711.50 / $52,051.90 / $73,307.00
| Facility | | $28,711.50 | $52,051.90 | $73,307.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,742.00 / $42,981.30 / $67,114.50
| Facility | | $24,742.00 | $42,981.30 | $67,114.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $24,946.40 / $36,207.64
| Facility | | $2,621.40 | $24,946.40 | $36,207.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,807.85 / $39,813.42 / $72,794.39
| Facility | | $14,807.85 | $39,813.42 | $72,794.39 |