- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $4,897.79 / $147,910.84
| Facility | | $660.69 | $4,897.79 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $40,738.03 / $77,624.71
| Facility | | $2,691.53 | $40,738.03 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $602.56 / $676.08
| Facility | | $537.03 | $602.56 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $1,000.00 / $1,348.96
| Facility | | $616.60 | $1,000.00 | $1,348.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $20,417.38 / $30,199.52
| Facility | | $10,964.78 | $20,417.38 | $30,199.52 |