- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,264.20 / $62,036.50 / $76,403.00
| Facility | | $51,264.20 | $62,036.50 | $76,403.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,176.32 / $54,794.52 / $55,743.76
| Facility | | $50,176.32 | $54,794.52 | $55,743.76 |
- 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
- $48,955.10 / $63,289.67 / $99,174.08
| Facility | | $48,955.10 | $63,289.67 | $99,174.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,010.00 / $79,976.00 / $105,546.78
| Facility | | $60,010.00 | $79,976.00 | $105,546.78 |