- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,597.60 / $49,128.50 / $60,505.80
| Facility | | $40,597.60 | $49,128.50 | $60,505.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,736.08 / $43,393.38 / $44,145.11
| Facility | | $39,736.08 | $43,393.38 | $44,145.11 |
- 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
- $38,768.98 / $50,120.94 / $78,538.85
| Facility | | $38,768.98 | $50,120.94 | $78,538.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,523.67 / $63,335.33 / $83,585.57
| Facility | | $47,523.67 | $63,335.33 | $83,585.57 |