- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,256.90 / $41,889.30 / $63,263.30
| Facility | | $23,256.90 | $41,889.30 | $63,263.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,399.58 / $79,502.32
| Facility | | $20,946.00 | $58,399.58 | $79,502.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,006.73 / $37,244.51 / $54,477.04
| Facility | | $22,006.73 | $37,244.51 | $54,477.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,868.94 / $41,868.94 / $50,840.87
| Facility | | $41,868.94 | $41,868.94 | $50,840.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,404.21 / $40,345.06 / $50,107.21
| Facility | | $20,404.21 | $40,345.06 | $50,107.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,913.80 / $41,541.19 / $63,263.30
| Facility | | $22,913.80 | $41,541.19 | $63,263.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,924.31 / $34,302.15 / $53,562.17
| Facility | | $20,924.31 | $34,302.15 | $53,562.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,939.68 / $28,722.04
| Facility | | $2,621.40 | $19,939.68 | $28,722.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,817.73 / $32,028.04 / $58,095.14
| Facility | | $11,817.73 | $32,028.04 | $58,095.14 |