- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.52 / $1,090.28 / $17,100.00
| Facility | | $534.52 | $1,090.28 | $17,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,241.82 / $7,873.79 / $15,720.23
| Facility | | $1,241.82 | $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
- $386.00 / $644.73 / $1,918.07
| Facility | | $386.00 | $644.73 | $1,918.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.52 / $919.24 / $2,016.07
| Facility | | $562.52 | $919.24 | $2,016.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $622.41 / $627.00 / $1,241.82
| Facility | | $622.41 | $627.00 | $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 |