- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $5,100.00 / $38,148.60
| Facility | | $789.00 | $5,100.00 | $38,148.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,812.35 / $26,812.35 / $26,812.35
| Facility | | $26,812.35 | $26,812.35 | $26,812.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $29,352.29 / $46,488.71
| Facility | | $2,089.36 | $29,352.29 | $46,488.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,927.37 / $37,928.28 / $50,680.78
| Facility | | $21,927.37 | $37,928.28 | $50,680.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,356.06 / $41,446.30 / $60,804.50
| Facility | | $27,356.06 | $41,446.30 | $60,804.50 |