- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,045.20 / $52,656.90 / $71,907.60
| Facility | | $29,045.20 | $52,656.90 | $71,907.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $43,790.44 / $67,791.78
| Facility | | $20,946.00 | $43,790.44 | $67,791.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,075.48 / $47,120.30 / $67,894.46
| Facility | | $24,075.48 | $47,120.30 | $67,894.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,072.34 / $53,072.34 / $64,444.99
| Facility | | $53,072.34 | $53,072.34 | $64,444.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,748.85 / $29,497.67 / $48,026.62
| Facility | | $14,748.85 | $29,497.67 | $48,026.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,993.60 / $49,843.00 / $71,160.39
| Facility | | $28,993.60 | $49,843.00 | $71,160.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,056.04 / $43,116.85 / $67,150.46
| Facility | | $22,056.04 | $43,116.85 | $67,150.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $24,367.05 / $35,346.26
| Facility | | $2,621.40 | $24,367.05 | $35,346.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,719.06 / $40,598.18 / $73,640.37
| Facility | | $14,719.06 | $40,598.18 | $73,640.37 |