- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $6,600.00 / $36,113.40
| Facility | | $789.00 | $6,600.00 | $36,113.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,268.33 / $30,115.76 / $45,049.26
| Facility | | $27,268.33 | $30,115.76 | $45,049.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $28,576.73 / $45,260.37
| Facility | | $2,200.00 | $28,576.73 | $45,260.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,105.19 / $36,926.12 / $49,341.68
| Facility | | $22,105.19 | $36,926.12 | $49,341.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,428.97 / $33,183.03 / $53,667.81
| Facility | | $20,428.97 | $33,183.03 | $53,667.81 |