- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $462.94 / $9,062.00 / $60,823.00
| Facility | | $462.94 | $9,062.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,541.65 / $23,614.65 / $39,793.12
| Facility | | $8,541.65 | $23,614.65 | $39,793.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,173.22 / $8,173.22 / $10,502.73
| Facility | | $8,173.22 | $8,173.22 | $10,502.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.58 / $462.94 / $750.27
| Facility | | $341.58 | $462.94 | $750.27 |
- 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 |