- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,214.60 / $41,404.19 / $50,992.70
| Facility | | $34,214.60 | $41,404.19 | $50,992.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,488.51 / $36,570.78 / $37,204.32
| Facility | | $33,488.51 | $36,570.78 | $37,204.32 |
- 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
- $32,673.46 / $42,240.59 / $66,190.44
| Facility | | $32,673.46 | $42,240.59 | $66,190.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,051.68 / $53,377.32 / $70,443.69
| Facility | | $40,051.68 | $53,377.32 | $70,443.69 |