- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,016.10 / $43,584.20 / $53,677.50
| Facility | | $36,016.10 | $43,584.20 | $53,677.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,251.76 / $38,496.32 / $39,163.21
| Facility | | $35,251.76 | $38,496.32 | $39,163.21 |
- 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
- $34,393.79 / $44,464.65 / $69,675.52
| Facility | | $34,393.79 | $44,464.65 | $69,675.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,626.42 / $50,162.25 / $69,675.52
| Facility | | $35,626.42 | $50,162.25 | $69,675.52 |