- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,000.50 / $35,094.40 / $43,221.70
| Facility | | $29,000.50 | $35,094.40 | $43,221.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,385.07 / $30,997.62 / $31,534.61
| Facility | | $28,385.07 | $30,997.62 | $31,534.61 |
- 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
- $27,694.22 / $35,803.37 / $56,103.43
| Facility | | $27,694.22 | $35,803.37 | $56,103.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,948.05 / $45,242.95 / $59,708.51
| Facility | | $33,948.05 | $45,242.95 | $59,708.51 |