- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,605.10 / $45,507.10 / $56,045.80
| Facility | | $37,605.10 | $45,507.10 | $56,045.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,807.07 / $40,194.76 / $40,891.08
| Facility | | $36,807.07 | $40,194.76 | $40,891.08 |
- 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
- $35,911.24 / $46,426.43 / $72,749.60
| Facility | | $35,911.24 | $46,426.43 | $72,749.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,911.24 / $50,490.89 / $72,749.60
| Facility | | $35,911.24 | $50,490.89 | $72,749.60 |