- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $503.21 / $11,018.00 / $60,823.00
| Facility | | $503.21 | $11,018.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,317.56 / $13,486.80 / $23,537.30
| Facility | | $4,317.56 | $13,486.80 | $23,537.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,861.64 / $7,861.64 / $10,102.35
| Facility | | $7,861.64 | $7,861.64 | $10,102.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.33 / $593.00 / $855.70
| Facility | | $384.33 | $593.00 | $855.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,627.00 / $25,620.00
| Facility | | $3,028.00 | $19,627.00 | $25,620.00 |