- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,647.00 / $38,297.00 / $47,165.90
| Facility | | $31,647.00 | $38,297.00 | $47,165.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,975.37 / $33,826.33 / $34,412.32
| Facility | | $30,975.37 | $33,826.33 | $34,412.32 |
- 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
- $30,221.48 / $39,070.64 / $61,223.18
| Facility | | $30,221.48 | $39,070.64 | $61,223.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,046.00 / $49,371.62 / $65,157.24
| Facility | | $37,046.00 | $49,371.62 | $65,157.24 |