- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,947.30 / $48,133.10 / $65,730.00
| Facility | | $26,947.30 | $48,133.10 | $65,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,630.00 / $44,784.31 / $63,456.00
| Facility | | $20,630.00 | $44,784.31 | $63,456.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,987.32 / $43,072.18 / $62,061.63
| Facility | | $23,987.32 | $43,072.18 | $62,061.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,512.88 / $48,512.88 / $58,908.50
| Facility | | $48,512.88 | $48,512.88 | $58,908.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,905.41 / $44,905.41 / $44,905.41
| Facility | | $44,905.41 | $44,905.41 | $44,905.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,549.90 / $47,105.60 / $65,046.90
| Facility | | $26,549.90 | $47,105.60 | $65,046.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,821.00 / $39,350.83 / $61,381.54
| Facility | | $23,821.00 | $39,350.83 | $61,381.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,387.88 / $29,383.35
| Facility | | $2,621.40 | $20,387.88 | $29,383.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,693.01 / $37,110.37 / $67,313.89
| Facility | | $13,693.01 | $37,110.37 | $67,313.89 |