- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,507.69 / $61,521.30 / $84,012.70
| Facility | | $35,507.69 | $61,521.30 | $84,012.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $64,927.78 / $94,637.57
| Facility | | $20,946.00 | $64,927.78 | $94,637.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,742.70 / $51,929.40 / $80,576.19
| Facility | | $28,742.70 | $51,929.40 | $80,576.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,006.71 / $62,006.71 / $75,293.87
| Facility | | $62,006.71 | $62,006.71 | $75,293.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,117.05 / $113,881.78 / $167,925.52
| Facility | | $57,117.05 | $113,881.78 | $167,925.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,934.69 / $61,521.30 / $84,012.70
| Facility | | $33,934.69 | $61,521.30 | $84,012.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,742.70 / $50,296.26 / $79,324.03
| Facility | | $28,742.70 | $50,296.26 | $79,324.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $29,236.66 / $42,481.77
| Facility | | $2,621.40 | $29,236.66 | $42,481.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,501.71 / $47,432.62 / $86,037.23
| Facility | | $17,501.71 | $47,432.62 | $86,037.23 |