- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,474.80 / $57,450.70 / $70,755.30
| Facility | | $47,474.80 | $57,450.70 | $70,755.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,467.29 / $50,744.12 / $51,623.19
| Facility | | $46,467.29 | $50,744.12 | $51,623.19 |
- 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
- $45,336.35 / $58,611.30 / $91,843.14
| Facility | | $45,336.35 | $58,611.30 | $91,843.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,574.07 / $74,064.17 / $97,744.77
| Facility | | $55,574.07 | $74,064.17 | $97,744.77 |