- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,781.80 / $42,090.50 / $51,838.00
| Facility | | $34,781.80 | $42,090.50 | $51,838.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,043.64 / $37,177.01 / $37,821.04
| Facility | | $34,043.64 | $37,177.01 | $37,821.04 |
- 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
- $33,215.08 / $42,940.80 / $67,287.67
| Facility | | $33,215.08 | $42,940.80 | $67,287.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,715.60 / $54,262.15 / $71,611.41
| Facility | | $40,715.60 | $54,262.15 | $71,611.41 |