- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $47,863.01 / $67,608.30
| Facility | | $26,915.35 | $47,863.01 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $51,286.14 / $74,131.02
| Facility | | $26,915.35 | $51,286.14 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $63,095.73
| Facility | | $25,118.86 | $43,651.58 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $61,659.50
| Facility | | $51,286.14 | $51,286.14 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $47,863.01 / $58,884.37
| Facility | | $20,892.96 | $47,863.01 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $61,659.50 / $93,325.43
| Facility | | $34,673.69 | $61,659.50 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $44,668.36 / $64,565.42
| Facility | | $26,302.68 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $26,302.68 / $43,651.58
| Facility | | $21,379.62 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $34,673.69 / $60,255.96
| Facility | | $5,370.32 | $34,673.69 | $60,255.96 |