- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,720.19 / $42,016.10 / $51,746.30
| Facility | | $34,720.19 | $42,016.10 | $51,746.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,983.43 / $37,111.25 / $37,754.15
| Facility | | $33,983.43 | $37,111.25 | $37,754.15 |
- 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
- $33,156.32 / $42,864.84 / $67,168.64
| Facility | | $33,156.32 | $42,864.84 | $67,168.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,643.58 / $54,166.16 / $71,484.75
| Facility | | $40,643.58 | $54,166.16 | $71,484.75 |