- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,605.90 / $37,037.10 / $45,614.30
| Facility | | $30,605.90 | $37,037.10 | $45,614.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,956.37 / $32,713.55 / $33,280.26
| Facility | | $29,956.37 | $32,713.55 | $33,280.26 |
- 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
- $29,227.28 / $37,785.33 / $59,209.13
| Facility | | $29,227.28 | $37,785.33 | $59,209.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,827.30 / $47,747.45 / $63,013.77
| Facility | | $35,827.30 | $47,747.45 | $63,013.77 |