- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,880.80 / $42,210.30 / $51,985.50
| Facility | | $34,880.80 | $42,210.30 | $51,985.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,140.56 / $37,282.83 / $37,928.71
| Facility | | $34,140.56 | $37,282.83 | $37,928.71 |
- 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
- $33,309.62 / $43,063.04 / $67,479.21
| Facility | | $33,309.62 | $43,063.04 | $67,479.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,831.51 / $54,416.61 / $71,815.27
| Facility | | $40,831.51 | $54,416.61 | $71,815.27 |