- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,186.20 / $53,471.10 / $65,854.10
| Facility | | $44,186.20 | $53,471.10 | $65,854.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,248.47 / $47,229.04 / $48,047.21
| Facility | | $43,248.47 | $47,229.04 | $48,047.21 |
- 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
- $42,195.87 / $54,551.26 / $85,481.11
| Facility | | $42,195.87 | $54,551.26 | $85,481.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,724.41 / $68,933.71 / $90,973.93
| Facility | | $51,724.41 | $68,933.71 | $90,973.93 |