- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,763.29
| Facility | | $1,000.00 | $7,838.38 | $8,763.29 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $113.41 / $113.41 / $113.41
| Facility | 53 | $113.41 | $113.41 | $113.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,790.24 / $69,385.35 / $110,478.84
| Facility | | $29,790.24 | $69,385.35 | $110,478.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $535.74 / $681.84 / $782.13
| Facility | | $535.74 | $681.84 | $782.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,834.00 / $31,343.00 / $31,343.00
| Facility | | $11,834.00 | $31,343.00 | $31,343.00 |