- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,832.00 / $40,941.19 / $50,422.40
| Facility | | $33,832.00 | $40,941.19 | $50,422.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,114.03 / $36,161.83 / $36,788.29
| Facility | | $33,114.03 | $36,161.83 | $36,788.29 |
- 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
- $32,308.09 / $41,768.24 / $65,450.28
| Facility | | $32,308.09 | $41,768.24 | $65,450.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,603.81 / $52,780.44 / $69,655.96
| Facility | | $39,603.81 | $52,780.44 | $69,655.96 |