- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,100.00 / $7,644.00 / $36,108.30
| Facility | | $2,100.00 | $7,644.00 | $36,108.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,248.52 / $4,592.26 / $7,511.21
| Facility | | $1,248.52 | $4,592.26 | $7,511.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,568.00 / $27,131.00 / $37,605.00
| Facility | | $12,568.00 | $27,131.00 | $37,605.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $536.96 / $923.88 / $22,943.00
| Facility | | $536.96 | $923.88 | $22,943.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.00 / $16,946.00 / $29,702.00
| Facility | | $6,431.00 | $16,946.00 | $29,702.00 |