- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,961.50 / $37,467.60 / $46,144.40
| Facility | | $30,961.50 | $37,467.60 | $46,144.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,304.51 / $33,093.72 / $33,667.01
| Facility | | $30,304.51 | $33,093.72 | $33,667.01 |
- 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
- $29,566.94 / $38,224.44 / $59,897.22
| Facility | | $29,566.94 | $38,224.44 | $59,897.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,243.66 / $48,302.34 / $63,746.07
| Facility | | $36,243.66 | $48,302.34 | $63,746.07 |