- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,643.10 / $38,292.30 / $47,160.20
| Facility | | $31,643.10 | $38,292.30 | $47,160.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,971.61 / $33,822.22 / $34,408.14
| Facility | | $30,971.61 | $33,822.22 | $34,408.14 |
- 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
- $30,217.81 / $39,065.90 / $61,215.74
| Facility | | $30,217.81 | $39,065.90 | $61,215.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,041.50 / $49,365.62 / $65,149.33
| Facility | | $37,041.50 | $49,365.62 | $65,149.33 |