- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,434.90 / $45,301.20 / $55,792.20
| Facility | | $37,434.90 | $45,301.20 | $55,792.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,640.53 / $40,012.91 / $40,706.07
| Facility | | $36,640.53 | $40,012.91 | $40,706.07 |
- 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
- $35,748.76 / $46,216.37 / $72,420.44
| Facility | | $35,748.76 | $46,216.37 | $72,420.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,821.43 / $58,401.32 / $77,074.00
| Facility | | $43,821.43 | $58,401.32 | $77,074.00 |