- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,622.41 / $7,342.00 / $11,627.00
| Facility | | $2,622.41 | $7,342.00 | $11,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,794.51 / $17,502.61 / $31,141.30
| Facility | | $6,794.51 | $17,502.61 | $31,141.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,388.02 / $2,605.12 / $3,793.40
| Facility | | $2,388.02 | $2,605.12 | $3,793.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,074.84 / $3,074.84 / $3,074.84
| Facility | | $3,074.84 | $3,074.84 | $3,074.84 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $1,890.19 / $1,890.19 / $1,890.19
| Facility | 62 | $1,890.19 | $1,890.19 | $1,890.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,356.00 / $6,227.00 / $10,023.00
| Facility | | $2,356.00 | $6,227.00 | $10,023.00 |