- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,714.40 / $45,930.90 / $62,722.70
| Facility | | $25,714.40 | $45,930.90 | $62,722.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $47,666.00 / $68,758.77
| Facility | | $20,946.00 | $47,666.00 | $68,758.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $41,180.19 / $61,422.90
| Facility | | $23,864.00 | $41,180.19 | $61,422.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,293.29 / $46,293.29 / $56,213.28
| Facility | | $46,293.29 | $46,293.29 | $56,213.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,539.26 / $54,539.26 / $54,539.26
| Facility | | $54,539.26 | $54,539.26 | $54,539.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,335.20 / $45,089.00 / $62,070.90
| Facility | | $25,335.20 | $45,089.00 | $62,070.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,889.84 / $37,926.90 / $59,222.15
| Facility | | $22,889.84 | $37,926.90 | $59,222.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,420.94 / $32,383.15
| Facility | | $2,621.40 | $22,420.94 | $32,383.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,066.52 / $35,131.55 / $64,234.12
| Facility | | $13,066.52 | $35,131.55 | $64,234.12 |