- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,154.60 / $41,977.70 / $57,324.20
| Facility | | $23,154.60 | $41,977.70 | $57,324.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $46,551.00 / $63,688.00
| Facility | | $20,946.00 | $46,551.00 | $63,688.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,237.98 / $37,635.87 / $54,567.69
| Facility | | $22,237.98 | $37,635.87 | $54,567.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,308.91 / $42,308.91 / $51,375.11
| Facility | | $42,308.91 | $42,308.91 | $51,375.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,881.79 / $40,735.55 / $52,722.86
| Facility | | $23,881.79 | $40,735.55 | $52,722.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,113.50 / $41,977.70 / $57,324.20
| Facility | | $23,113.50 | $41,977.70 | $57,324.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,919.75 / $34,662.60 / $54,125.01
| Facility | | $20,919.75 | $34,662.60 | $54,125.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,971.32 / $28,768.72
| Facility | | $2,621.40 | $19,971.32 | $28,768.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,941.91 / $32,364.60 / $58,705.61
| Facility | | $11,941.91 | $32,364.60 | $58,705.61 |