- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,092.60 / $64,249.10 / $79,128.00
| Facility | | $53,092.60 | $64,249.10 | $79,128.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,965.91 / $56,748.83 / $57,731.92
| Facility | | $51,965.91 | $56,748.83 | $57,731.92 |
- 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
- $50,701.14 / $65,546.96 / $102,711.23
| Facility | | $50,701.14 | $65,546.96 | $102,711.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,150.32 / $82,828.42 / $109,311.22
| Facility | | $62,150.32 | $82,828.42 | $109,311.22 |