- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,164.00 / $2,960.00 / $70,748.39
| Facility | | $1,164.00 | $2,960.00 | $70,748.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,348.30 / $20,348.30 / $20,348.30
| Facility | | $20,348.30 | $20,348.30 | $20,348.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,686.27 / $3,356.11 / $38,580.00
| Facility | | $1,686.27 | $3,356.11 | $38,580.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,153.80 / $77,896.27 / $122,419.44
| Facility | | $44,153.80 | $77,896.27 | $122,419.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,114.00 / $7,832.00 / $114,451.62
| Facility | | $2,114.00 | $7,832.00 | $114,451.62 |