- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,327.10 / $41,540.30 / $51,160.30
| Facility | | $34,327.10 | $41,540.30 | $51,160.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,598.60 / $36,691.00 / $37,326.62
| Facility | | $33,598.60 | $36,691.00 | $37,326.62 |
- 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
- $32,780.86 / $42,379.44 / $66,408.03
| Facility | | $32,780.86 | $42,379.44 | $66,408.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,183.33 / $53,552.79 / $70,675.25
| Facility | | $40,183.33 | $53,552.79 | $70,675.25 |