- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,752.50 / $39,634.80 / $48,813.50
| Facility | | $32,752.50 | $39,634.80 | $48,813.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,057.40 / $35,007.94 / $35,614.42
| Facility | | $32,057.40 | $35,007.94 | $35,614.42 |
- 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
- $31,277.18 / $40,435.46 / $63,361.84
| Facility | | $31,277.18 | $40,435.46 | $63,361.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,340.10 / $51,096.28 / $67,433.32
| Facility | | $38,340.10 | $51,096.28 | $67,433.32 |