- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $483.50 / $1,009.37 / $18,711.00
| Facility | | $483.50 | $1,009.37 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.52 / $7,873.79 / $15,720.23
| Facility | | $1,230.52 | $7,873.79 | $15,720.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $564.00 / $906.00 / $2,846.84
| Facility | | $564.00 | $906.00 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.50 / $591.24 / $1,918.07
| Facility | | $345.50 | $591.24 | $1,918.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.03 / $869.66 / $2,016.07
| Facility | | $523.03 | $869.66 | $2,016.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.19 / $594.34 / $1,241.82
| Facility | | $593.19 | $594.34 | $1,241.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,232.00 / $1,981.00 / $10,522.00
| Facility | | $1,232.00 | $1,981.00 | $10,522.00 |