- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,290.60 / $36,655.60 / $45,144.40
| Facility | | $30,290.60 | $36,655.60 | $45,144.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,647.76 / $32,376.53 / $32,937.40
| Facility | | $29,647.76 | $32,376.53 | $32,937.40 |
- 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
- $28,926.18 / $37,396.07 / $58,599.15
| Facility | | $28,926.18 | $37,396.07 | $58,599.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,458.19 / $47,255.55 / $62,364.59
| Facility | | $35,458.19 | $47,255.55 | $62,364.59 |