- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,332.60 / $47,739.10 / $65,191.90
| Facility | | $26,332.60 | $47,739.10 | $65,191.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $44,950.98 / $68,766.10
| Facility | | $20,946.00 | $44,950.98 | $68,766.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $42,801.36 / $61,553.60
| Facility | | $23,864.00 | $42,801.36 | $61,553.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,115.76 / $48,115.76 / $58,426.28
| Facility | | $48,115.76 | $48,115.76 | $58,426.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,605.19 / $50,087.06 / $51,060.78
| Facility | | $35,605.19 | $50,087.06 | $51,060.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,285.80 / $45,852.80 / $64,514.50
| Facility | | $26,285.80 | $45,852.80 | $64,514.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,304.00 / $39,420.00 / $61,475.60
| Facility | | $22,304.00 | $39,420.00 | $61,475.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,439.77 / $32,410.94
| Facility | | $2,621.40 | $22,439.77 | $32,410.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,344.40 / $36,806.60 / $66,762.88
| Facility | | $13,344.40 | $36,806.60 | $66,762.88 |