- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,247.30 / $41,443.69 / $51,041.40
| Facility | | $34,247.30 | $41,443.69 | $51,041.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,520.50 / $36,605.72 / $37,239.86
| Facility | | $33,520.50 | $36,605.72 | $37,239.86 |
- 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
- $32,704.67 / $42,280.94 / $66,253.67
| Facility | | $32,704.67 | $42,280.94 | $66,253.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,704.67 / $46,064.00 / $62,505.82
| Facility | | $32,704.67 | $46,064.00 | $62,505.82 |