- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,805.80 / $42,119.60 / $51,873.80
| Facility | | $34,805.80 | $42,119.60 | $51,873.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,067.17 / $37,202.69 / $37,847.18
| Facility | | $34,067.17 | $37,202.69 | $37,847.18 |
- 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
- $33,238.03 / $42,970.47 / $67,334.16
| Facility | | $33,238.03 | $42,970.47 | $67,334.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,743.74 / $54,299.64 / $71,660.89
| Facility | | $40,743.74 | $54,299.64 | $71,660.89 |