- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,441.50 / $41,678.69 / $51,330.80
| Facility | | $34,441.50 | $41,678.69 | $51,330.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,710.57 / $36,813.26 / $37,451.01
| Facility | | $33,710.57 | $36,813.26 | $37,451.01 |
- 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
- $32,890.10 / $42,520.67 / $66,629.33
| Facility | | $32,890.10 | $42,520.67 | $66,629.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,317.25 / $53,731.25 / $70,910.78
| Facility | | $40,317.25 | $53,731.25 | $70,910.78 |