- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,082.00 / $21,126.00
| Facility | | $1,671.00 | $4,082.00 | $21,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,341.54 / $5,501.86 / $9,608.20
| Facility | | $1,341.54 | $5,501.86 | $9,608.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,737.19 / $34,737.19 / $34,737.19
| Facility | | $34,737.19 | $34,737.19 | $34,737.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.03 / $707.44 / $110,892.00
| Facility | | $397.03 | $707.44 | $110,892.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,852.00 / $67,671.00 / $139,004.00
| Facility | | $9,852.00 | $67,671.00 | $139,004.00 |