- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,765.00 / $43,352.00 / $60,492.30
| Facility | | $23,765.00 | $43,352.00 | $60,492.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,331.00 / $28,590.00 / $54,197.00
| Facility | | $16,331.00 | $28,590.00 | $54,197.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,253.50 / $37,391.10 / $57,116.26
| Facility | | $20,253.50 | $37,391.10 | $57,116.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,647.14 / $44,647.14 / $54,214.39
| Facility | | $44,647.14 | $44,647.14 | $54,214.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,247.56 / $57,247.56 / $63,151.92
| Facility | | $57,247.56 | $57,247.56 | $63,151.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,404.90 / $40,967.60 / $59,863.70
| Facility | | $22,404.90 | $40,967.60 | $59,863.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,253.50 / $36,272.08 / $56,490.37
| Facility | | $20,253.50 | $36,272.08 | $56,490.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,592.77 / $29,685.66
| Facility | | $2,621.40 | $20,592.77 | $29,685.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,382.42 / $34,153.25 / $61,950.01
| Facility | | $12,382.42 | $34,153.25 | $61,950.01 |