- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.31 / $16,467.00 / $44,368.00
| Facility | | $321.31 | $16,467.00 | $44,368.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,683.48 / $22,280.41 / $36,087.31
| Facility | | $11,683.48 | $22,280.41 | $36,087.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $32,000.00 / $58,466.00
| Facility | | $21,239.00 | $32,000.00 | $58,466.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $572.11 / $661.07 / $1,313.91
| Facility | | $572.11 | $661.07 | $1,313.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $21,443.00 / $27,446.00
| Facility | | $3,028.00 | $21,443.00 | $27,446.00 |