- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,882.80 / $22,850.70 / $28,142.50
| Facility | | $18,882.80 | $22,850.70 | $28,142.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,482.09 / $20,183.18 / $20,532.83
| Facility | | $18,482.09 | $20,183.18 | $20,532.83 |
- 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
- $18,032.27 / $23,312.31 / $36,530.08
| Facility | | $18,032.27 | $23,312.31 | $36,530.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,104.27 / $29,458.61 / $38,877.43
| Facility | | $22,104.27 | $29,458.61 | $38,877.43 |