- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $12,557.99 / $55,667.00
| Facility | | $5,463.36 | $12,557.99 | $55,667.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,468.21 / $45,358.03 / $85,148.60
| Facility | | $33,468.21 | $45,358.03 | $85,148.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,194.54 / $2,146.32 / $47,086.23
| Facility | | $1,194.54 | $2,146.32 | $47,086.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,135.00 / $2,865.69 / $55,111.78
| Facility | | $2,135.00 | $2,865.69 | $55,111.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,989.00 / $44,635.00
| Facility | | $11,221.00 | $14,989.00 | $44,635.00 |