- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,430.20 / $35,614.40 / $43,862.10
| Facility | | $29,430.20 | $35,614.40 | $43,862.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,805.65 / $31,456.91 / $32,001.86
| Facility | | $28,805.65 | $31,456.91 | $32,001.86 |
- 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
- $28,104.57 / $36,333.87 / $56,934.72
| Facility | | $28,104.57 | $36,333.87 | $56,934.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,451.06 / $45,913.32 / $60,593.21
| Facility | | $34,451.06 | $45,913.32 | $60,593.21 |