- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,006.80 / $32,681.80 / $40,250.30
| Facility | | $27,006.80 | $32,681.80 | $40,250.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,433.64 / $28,866.59 / $29,366.66
| Facility | | $26,433.64 | $28,866.59 | $29,366.66 |
- 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
- $25,790.29 / $33,341.96 / $52,246.41
| Facility | | $25,790.29 | $33,341.96 | $52,246.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,614.18 / $42,132.57 / $55,603.64
| Facility | | $31,614.18 | $42,132.57 | $55,603.64 |