- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $5,100.00 / $40,447.10
| Facility | | $789.00 | $5,100.00 | $40,447.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.11 / $32,041.89 / $45,767.28
| Facility | | $28,840.11 | $32,041.89 | $45,767.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $31,120.78 / $48,665.73
| Facility | | $2,089.36 | $31,120.78 | $48,665.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,248.50 / $40,213.48 / $53,734.34
| Facility | | $23,248.50 | $40,213.48 | $53,734.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,624.75 / $6,624.75 / $56,324.68
| Facility | | $6,624.75 | $6,624.75 | $56,324.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,004.28 / $42,635.09 / $60,372.45
| Facility | | $29,004.28 | $42,635.09 | $60,372.45 |