- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $820.56 / $7,300.00 / $46,220.60
| Facility | | $820.56 | $7,300.00 | $46,220.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,713.87 / $34,713.87 / $34,713.87
| Facility | | $34,713.87 | $34,713.87 | $34,713.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,372.00 / $37,091.44 / $58,218.27
| Facility | | $2,372.00 | $37,091.44 | $58,218.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,341.34 / $47,260.75 / $63,907.00
| Facility | | $31,341.34 | $47,260.75 | $63,907.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,862.48 / $58,638.22 / $84,779.00
| Facility | | $34,862.48 | $58,638.22 | $84,779.00 |