- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,044.30 / $65,400.70 / $80,546.39
| Facility | | $54,044.30 | $65,400.70 | $80,546.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,897.40 / $57,766.05 / $58,766.77
| Facility | | $52,897.40 | $57,766.05 | $58,766.77 |
- 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
- $51,609.96 / $66,721.89 / $104,552.33
| Facility | | $51,609.96 | $66,721.89 | $104,552.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,264.37 / $84,313.13 / $111,270.62
| Facility | | $63,264.37 | $84,313.13 | $111,270.62 |