- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,055.30 / $40,001.19 / $49,264.80
| Facility | | $33,055.30 | $40,001.19 | $49,264.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,353.79 / $35,331.62 / $35,943.69
| Facility | | $32,353.79 | $35,331.62 | $35,943.69 |
- 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
- $31,566.35 / $40,809.30 / $63,947.64
| Facility | | $31,566.35 | $40,809.30 | $63,947.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,020.87 / $51,568.68 / $68,056.77
| Facility | | $33,020.87 | $51,568.68 | $68,056.77 |