- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $6,085.00 / $28,709.00
| Facility | | $789.00 | $6,085.00 | $28,709.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,794.81 / $20,260.50 / $47,608.86
| Facility | | $19,794.81 | $20,260.50 | $47,608.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $23,014.56 / $36,436.03
| Facility | | $2,200.00 | $23,014.56 | $36,436.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,467.06 / $29,597.48 / $39,225.07
| Facility | | $19,467.06 | $29,597.48 | $39,225.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,654.15 / $32,385.00 / $47,060.45
| Facility | | $21,654.15 | $32,385.00 | $47,060.45 |