- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,744.80 / $41,753.08 / $80,763.95
| Facility | | $31,744.80 | $41,753.08 | $80,763.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,964.78 / $2,964.23 / $13,909.00
| Facility | | $1,964.78 | $2,964.23 | $13,909.00 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $4,946.41 / $4,946.41 / $4,946.41
| Facility | 62 | $4,946.41 | $4,946.41 | $4,946.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,081.27 / $3,804.93 / $5,184.93
| Facility | | $3,081.27 | $3,804.93 | $5,184.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |