- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,158.20 / $35,285.19 / $43,456.70
| Facility | | $29,158.20 | $35,285.19 | $43,456.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,539.38 / $31,166.13 / $31,706.04
| Facility | | $28,539.38 | $31,166.13 | $31,706.04 |
- 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
- $27,844.78 / $35,998.01 / $56,408.42
| Facility | | $27,844.78 | $35,998.01 | $56,408.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,132.60 / $45,488.90 / $60,033.09
| Facility | | $34,132.60 | $45,488.90 | $60,033.09 |