- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,366.51 / $31,667.62 / $59,448.21
| Facility | | $23,366.51 | $31,667.62 | $59,448.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.41 / $1,252.01 / $29,797.02
| Facility | | $708.41 | $1,252.01 | $29,797.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,297.91 / $1,675.92 / $31,906.99
| Facility | | $1,297.91 | $1,675.92 | $31,906.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,617.00 / $11,459.00 / $26,782.00
| Facility | | $9,617.00 | $11,459.00 | $26,782.00 |