- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,039.50 / $60,554.40 / $74,577.80
| Facility | | $50,039.50 | $60,554.40 | $74,577.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.61 / $53,485.49 / $54,412.05
| Facility | | $48,977.61 | $53,485.49 | $54,412.05 |
- 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
- $47,785.57 / $61,777.69 / $96,804.82
| Facility | | $47,785.57 | $61,777.69 | $96,804.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,576.37 / $78,065.38 / $103,025.28
| Facility | | $58,576.37 | $78,065.38 | $103,025.28 |