- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,117.69 / $44,917.30 / $55,319.40
| Facility | | $37,117.69 | $44,917.30 | $55,319.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,330.03 / $39,673.83 / $40,361.12
| Facility | | $36,330.03 | $39,673.83 | $40,361.12 |
- 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
- $35,445.82 / $45,824.72 / $71,806.74
| Facility | | $35,445.82 | $45,824.72 | $71,806.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,450.08 / $57,906.42 / $76,420.87
| Facility | | $43,450.08 | $57,906.42 | $76,420.87 |