- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $5,100.00 / $29,353.50
| Facility | | $789.00 | $5,100.00 | $29,353.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,345.40 / $20,345.40 / $42,072.73
| Facility | | $20,345.40 | $20,345.40 | $42,072.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $22,523.29 / $35,317.93
| Facility | | $2,089.36 | $22,523.29 | $35,317.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,326.00 / $29,183.92 / $38,996.35
| Facility | | $17,326.00 | $29,183.92 | $38,996.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,704.03 / $30,941.34 / $46,786.04
| Facility | | $20,704.03 | $30,941.34 | $46,786.04 |