- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,608.60 / $50,052.50 / $68,351.00
| Facility | | $27,608.60 | $50,052.50 | $68,351.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $51,826.31 / $74,911.00
| Facility | | $20,946.00 | $51,826.31 | $74,911.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,943.85 / $44,875.47 / $65,761.17
| Facility | | $24,943.85 | $44,875.47 | $65,761.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,447.40 / $50,447.40 / $61,257.55
| Facility | | $50,447.40 | $50,447.40 | $61,257.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,277.10 / $54,816.76 / $90,712.89
| Facility | | $43,277.10 | $54,816.76 | $90,712.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,559.60 / $48,074.70 / $68,351.00
| Facility | | $27,559.60 | $48,074.70 | $68,351.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $41,330.25 / $64,536.42
| Facility | | $23,864.00 | $41,330.25 | $64,536.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,919.09 / $34,670.51
| Facility | | $2,621.40 | $23,919.09 | $34,670.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,991.06 / $38,590.21 / $69,998.14
| Facility | | $13,991.06 | $38,590.21 | $69,998.14 |