- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $8,128.31 / $37,153.52
| Facility | | $457.09 | $8,128.31 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $56,234.13 / $97,723.72
| Facility | | $28,183.83 | $56,234.13 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $398.11 / $436.52
| Facility | | $371.54 | $398.11 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $33,113.11
| Facility | | $33,113.11 | $33,113.11 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $23,442.29 / $54,954.09
| Facility | | $14,454.40 | $23,442.29 | $54,954.09 |