- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.07 / $4,676.82 / $24,068.03
| Facility | | $243.07 | $4,676.82 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,881.23 / $30,095.07 / $58,213.58
| Facility | | $22,881.23 | $30,095.07 | $58,213.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,508.35 / $29,508.35 / $29,508.35
| Facility | | $29,508.35 | $29,508.35 | $29,508.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.73 / $392.56 / $11,221.00
| Facility | | $184.73 | $392.56 | $11,221.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.39 / $786.26 / $35,410.01
| Facility | | $374.39 | $786.26 | $35,410.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,143.00 / $40,166.00
| Facility | | $11,221.00 | $14,143.00 | $40,166.00 |