- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,232.30 / $47,183.20 / $64,432.80
| Facility | | $27,232.30 | $47,183.20 | $64,432.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $46,822.44 / $71,169.74
| Facility | | $20,946.00 | $46,822.44 | $71,169.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,940.47 / $39,826.80 / $62,949.10
| Facility | | $22,940.47 | $39,826.80 | $62,949.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,555.51 / $47,555.51 / $57,745.97
| Facility | | $47,555.51 | $47,555.51 | $57,745.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,902.26 / $50,920.23 / $73,345.74
| Facility | | $37,902.26 | $50,920.23 | $73,345.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,025.90 / $46,176.00 / $63,763.30
| Facility | | $26,025.90 | $46,176.00 | $63,763.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,513.94 / $38,634.87 / $60,836.88
| Facility | | $23,513.94 | $38,634.87 | $60,836.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,954.40 / $33,187.83
| Facility | | $2,621.40 | $22,954.40 | $33,187.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,422.79 / $36,089.43 / $65,985.50
| Facility | | $13,422.79 | $36,089.43 | $65,985.50 |