- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $820.56 / $12,168.00 / $30,820.60
| Facility | | $820.56 | $12,168.00 | $30,820.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,080.96 / $29,001.20 / $48,043.07
| Facility | | $26,080.96 | $29,001.20 | $48,043.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $24,023.92 / $38,034.03
| Facility | | $2,200.00 | $24,023.92 | $38,034.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,320.84 / $30,895.55 / $40,945.37
| Facility | | $20,320.84 | $30,895.55 | $40,945.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,738.82 / $34,020.96 / $50,800.00
| Facility | | $21,738.82 | $34,020.96 | $50,800.00 |