- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,509.15 / $47,329.10 / $59,737.90
| Facility | | $2,509.15 | $47,329.10 | $59,737.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,842.64 / $42,842.64 / $43,584.83
| Facility | | $42,842.64 | $42,842.64 | $43,584.83 |
- 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
- $2,640.00 / $47,412.52 / $73,155.63
| Facility | | $2,640.00 | $47,412.52 | $73,155.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.70 / $49,422.27 / $77,542.05
| Facility | | $3,019.70 | $49,422.27 | $77,542.05 |