- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,743.10 / $33,572.80 / $41,347.69
| Facility | | $27,743.10 | $33,572.80 | $41,347.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,154.37 / $29,653.65 / $30,167.36
| Facility | | $27,154.37 | $29,653.65 | $30,167.36 |
- 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
- $26,493.48 / $34,251.05 / $53,670.94
| Facility | | $26,493.48 | $34,251.05 | $53,670.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,476.16 / $43,281.34 / $57,119.71
| Facility | | $32,476.16 | $43,281.34 | $57,119.71 |