- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,774.40 / $63,864.00 / $78,653.80
| Facility | | $52,774.40 | $63,864.00 | $78,653.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,654.47 / $56,408.72 / $57,385.92
| Facility | | $51,654.47 | $56,408.72 | $57,385.92 |
- 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
- $50,397.28 / $65,154.13 / $102,095.67
| Facility | | $50,397.28 | $65,154.13 | $102,095.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,777.84 / $82,332.03 / $108,656.10
| Facility | | $61,777.84 | $82,332.03 | $108,656.10 |