- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.72 / $2,643.06 / $21,914.00
| Facility | | $308.72 | $2,643.06 | $21,914.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,023.00 / $24,040.00 / $31,898.00
| Facility | | $16,023.00 | $24,040.00 | $31,898.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.72 / $403.00 / $765.00
| Facility | | $308.72 | $403.00 | $765.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,688.00 / $14,893.00 / $22,265.00
| Facility | | $6,688.00 | $14,893.00 | $22,265.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $692.77 / $692.77 / $4,576.84
| Facility | | $692.77 | $692.77 | $4,576.84 |