- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.43 / $5,412.00 / $45,743.01
| Facility | | $470.43 | $5,412.00 | $45,743.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,526.00 / $152,581.00 / $170,101.00
| Facility | | $123,526.00 | $152,581.00 | $170,101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $344.51 / $413.41 / $509.87
| Professional | | $344.51 | $413.41 | $509.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $401.01 / $498.75 / $705.65
| Facility | | $401.01 | $498.75 | $705.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.26 / $487.04 / $27,805.00
| Facility | | $356.26 | $487.04 | $27,805.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,644.00 / $69,183.00 / $125,655.00
| Facility | | $27,644.00 | $69,183.00 | $125,655.00 |