- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $965.28 / $3,715.00 / $24,200.13
| Facility | | $965.28 | $3,715.00 | $24,200.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,950.09 / $33,233.65 / $64,828.28
| Facility | | $13,950.09 | $33,233.65 | $64,828.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,177.25 / $3,087.61 / $7,427.67
| Facility | | $2,177.25 | $3,087.61 | $7,427.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,769.95 / $2,822.82 / $5,848.56
| Facility | | $1,769.95 | $2,822.82 | $5,848.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,420.00 / $2,317.94 / $32,543.00
| Facility | | $1,420.00 | $2,317.94 | $32,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,276.00 / $12,506.00 / $25,695.00
| Facility | | $6,276.00 | $12,506.00 | $25,695.00 |