- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,022.10 / $37,540.90 / $46,234.70
| Facility | | $31,022.10 | $37,540.90 | $46,234.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,363.78 / $33,158.44 / $33,732.87
| Facility | | $30,363.78 | $33,158.44 | $33,732.87 |
- 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
- $29,624.78 / $38,299.22 / $60,014.38
| Facility | | $29,624.78 | $38,299.22 | $60,014.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,314.56 / $48,396.82 / $63,870.76
| Facility | | $36,314.56 | $48,396.82 | $63,870.76 |