- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $846.00 / $5,170.00 / $61,392.40
| Facility | | $846.00 | $5,170.00 | $61,392.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,104.77 / $2,496.88 / $12,025.23
| Facility | | $2,104.77 | $2,496.88 | $12,025.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,049.00 / $3,582.00 / $55,697.60
| Facility | | $1,049.00 | $3,582.00 | $55,697.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,548.72 / $48,091.03 / $78,074.87
| Facility | | $35,548.72 | $48,091.03 | $78,074.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,934.00 / $51,861.84 / $84,520.56
| Facility | | $1,934.00 | $51,861.84 | $84,520.56 |