- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,162.00 / $6,792.00 / $34,658.00
| Facility | | $1,162.00 | $6,792.00 | $34,658.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,708.03 / $10,242.45 / $16,858.18
| Facility | | $2,708.03 | $10,242.45 | $16,858.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,836.00 / $27,131.00 / $37,605.00
| Facility | | $22,836.00 | $27,131.00 | $37,605.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $282.77 / $554.23 / $22,625.00
| Facility | | $282.77 | $554.23 | $22,625.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,050.00 / $14,910.00 / $29,702.00
| Facility | | $1,050.00 | $14,910.00 | $29,702.00 |