- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,533.00 / $40,579.40 / $49,976.90
| Facility | | $33,533.00 | $40,579.40 | $49,976.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,821.41 / $35,842.28 / $36,463.19
| Facility | | $32,821.41 | $35,842.28 | $36,463.19 |
- 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
- $32,022.59 / $41,399.14 / $64,871.92
| Facility | | $32,022.59 | $41,399.14 | $64,871.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,253.83 / $52,314.04 / $69,040.42
| Facility | | $39,253.83 | $52,314.04 | $69,040.42 |