- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,507.90 / $64,751.60 / $79,746.89
| Facility | | $53,507.90 | $64,751.60 | $79,746.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,372.38 / $57,192.71 / $58,183.49
| Facility | | $52,372.38 | $57,192.71 | $58,183.49 |
- 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
- $51,097.72 / $66,059.66 / $103,514.62
| Facility | | $51,097.72 | $66,059.66 | $103,514.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,636.45 / $83,476.30 / $110,166.23
| Facility | | $62,636.45 | $83,476.30 | $110,166.23 |