- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.48 / $13,335.00 / $79,589.86
| Facility | | $551.48 | $13,335.00 | $79,589.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,554.43 / $78,466.57 / $133,996.89
| Facility | | $39,554.43 | $78,466.57 | $133,996.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,005.74 / $32,005.74 / $41,127.96
| Facility | | $32,005.74 | $32,005.74 | $41,127.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.54 / $551.48 / $898.50
| Facility | | $400.54 | $551.48 | $898.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,700.00 / $31,997.00 / $89,528.00
| Facility | | $1,700.00 | $31,997.00 | $89,528.00 |