- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,612.55 / $6,570.07 / $14,735.50
| Facility | | $1,612.55 | $6,570.07 | $14,735.50 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $120,975.84 / $120,975.84 / $120,975.84
| Facility | 22 | $120,975.84 | $120,975.84 | $120,975.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,991.00 / $12,046.00 / $50,599.85
| Facility | | $4,991.00 | $12,046.00 | $50,599.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,149.00 / $21,288.50 / $25,321.18
| Facility | | $12,149.00 | $21,288.50 | $25,321.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,618.00 / $19,150.00 / $56,052.00
| Facility | | $7,618.00 | $19,150.00 | $56,052.00 |