- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.51 / $1,417.39 / $17,100.00
| Facility | | $537.51 | $1,417.39 | $17,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $685.96 / $2,062.32 / $4,409.49
| Facility | | $685.96 | $2,062.32 | $4,409.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $564.00 / $894.39 / $906.00
| Facility | | $564.00 | $894.39 | $906.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.52 / $673.81 / $1,274.95
| Facility | | $419.52 | $673.81 | $1,274.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $442.68 / $672.38 / $1,011.70
| Facility | | $442.68 | $672.38 | $1,011.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.52 / $676.33 / $685.96
| Facility | | $277.52 | $676.33 | $685.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,292.92 / $1,992.71 / $3,814.01
| Facility | | $1,292.92 | $1,992.71 | $3,814.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.00 / $887.00 / $4,611.00
| Facility | | $350.00 | $887.00 | $4,611.00 |