- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,524.40 / $40,568.90 / $49,964.00
| Facility | | $33,524.40 | $40,568.90 | $49,964.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,812.94 / $35,833.04 / $36,453.79
| Facility | | $32,812.94 | $35,833.04 | $36,453.79 |
- 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
- $32,014.33 / $41,388.46 / $64,855.18
| Facility | | $32,014.33 | $41,388.46 | $64,855.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,243.71 / $52,300.54 / $69,022.62
| Facility | | $39,243.71 | $52,300.54 | $69,022.62 |