- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,370.60 / $40,382.80 / $49,734.80
| Facility | | $33,370.60 | $40,382.80 | $49,734.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,662.40 / $35,668.64 / $36,286.54
| Facility | | $32,662.40 | $35,668.64 | $36,286.54 |
- 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
- $31,867.45 / $41,198.58 / $64,557.63
| Facility | | $31,867.45 | $41,198.58 | $64,557.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,063.66 / $52,060.59 / $68,705.95
| Facility | | $39,063.66 | $52,060.59 | $68,705.95 |