- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,069.80 / $25,497.20 / $31,401.90
| Facility | | $21,069.80 | $25,497.20 | $31,401.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,622.65 / $22,520.75 / $22,910.89
| Facility | | $20,622.65 | $22,520.75 | $22,910.89 |
- 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
- $20,120.72 / $26,012.28 / $40,760.90
| Facility | | $20,120.72 | $26,012.28 | $40,760.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,664.33 / $32,870.42 / $43,380.11
| Facility | | $24,664.33 | $32,870.42 | $43,380.11 |