- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $5,100.00 / $40,570.69
| Facility | | $789.00 | $5,100.00 | $40,570.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,628.40 / $34,628.40 / $34,628.40
| Facility | | $34,628.40 | $34,628.40 | $34,628.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $31,130.42 / $48,814.46
| Facility | | $2,089.36 | $31,130.42 | $48,814.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,319.55 / $40,336.37 / $54,543.71
| Facility | | $23,319.55 | $40,336.37 | $54,543.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,092.92 / $44,077.76 / $64,665.02
| Facility | | $29,092.92 | $44,077.76 | $64,665.02 |