- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,757.80 / $69,894.60 / $86,080.90
| Facility | | $57,757.80 | $69,894.60 | $86,080.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,532.09 / $61,735.28 / $62,804.76
| Facility | | $56,532.09 | $61,735.28 | $62,804.76 |
- 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
- $55,156.19 / $71,306.50 / $111,736.36
| Facility | | $55,156.19 | $71,306.50 | $111,736.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,611.39 / $90,106.48 / $118,916.27
| Facility | | $67,611.39 | $90,106.48 | $118,916.27 |