- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,943.90 / $58,018.40 / $71,454.50
| Facility | | $47,943.90 | $58,018.40 | $71,454.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,926.45 / $51,245.54 / $52,133.29
| Facility | | $46,926.45 | $51,245.54 | $52,133.29 |
- 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
- $45,784.33 / $59,190.46 / $92,750.68
| Facility | | $45,784.33 | $59,190.46 | $92,750.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,123.21 / $74,796.03 / $98,710.62
| Facility | | $56,123.21 | $74,796.03 | $98,710.62 |