- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,789.30 / $66,302.30 / $81,656.70
| Facility | | $54,789.30 | $66,302.30 | $81,656.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,626.60 / $58,562.36 / $59,576.87
| Facility | | $53,626.60 | $58,562.36 | $59,576.87 |
- 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
- $52,321.41 / $67,641.67 / $105,993.60
| Facility | | $52,321.41 | $67,641.67 | $105,993.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,136.47 / $85,475.40 / $112,804.50
| Facility | | $64,136.47 | $85,475.40 | $112,804.50 |