- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,053.73 / $1,918.64 / $16,059.00
| Facility | | $1,053.73 | $1,918.64 | $16,059.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,423.00 / $16,023.00 / $31,898.00
| Facility | | $9,423.00 | $16,023.00 | $31,898.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $895.67 / $1,412.50 / $2,177.60
| Facility | | $895.67 | $1,412.50 | $2,177.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,216.00 / $30,820.00 / $59,455.00
| Facility | | $16,216.00 | $30,820.00 | $59,455.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,548.12 / $10,548.12 / $51,247.45
| Facility | | $10,548.12 | $10,548.12 | $51,247.45 |