- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $490.76 / $9,062.00 / $60,823.00
| Facility | | $490.76 | $9,062.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,496.06 / $26,491.24 / $44,543.26
| Facility | | $8,496.06 | $26,491.24 | $44,543.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,160.23 / $17,160.23 / $22,051.21
| Facility | | $17,160.23 | $17,160.23 | $22,051.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.02 / $490.76 / $797.65
| Facility | | $358.02 | $490.76 | $797.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $24,040.00 / $41,346.00
| Facility | | $3,340.00 | $24,040.00 | $41,346.00 |