- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,528.40 / $49,044.70 / $60,402.60
| Facility | | $40,528.40 | $49,044.70 | $60,402.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,668.33 / $43,319.40 / $44,069.85
| Facility | | $39,668.33 | $43,319.40 | $44,069.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,702.87 / $50,035.49 / $78,404.95
| Facility | | $38,702.87 | $50,035.49 | $78,404.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,442.65 / $63,227.35 / $83,443.07
| Facility | | $47,442.65 | $63,227.35 | $83,443.07 |