- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,559.40 / $57,553.10 / $70,881.39
| Facility | | $47,559.40 | $57,553.10 | $70,881.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,550.09 / $50,834.54 / $51,715.17
| Facility | | $46,550.09 | $50,834.54 | $51,715.17 |
- 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
- $45,417.13 / $58,715.74 / $92,006.80
| Facility | | $45,417.13 | $58,715.74 | $92,006.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,673.09 / $74,196.16 / $97,918.94
| Facility | | $55,673.09 | $74,196.16 | $97,918.94 |