- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.13 / $2,747.00 / $8,017.00
| Facility | | $451.13 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,807.24 / $3,807.24 / $3,807.24
| Facility | | $3,807.24 | $3,807.24 | $3,807.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,679.00 / $8,017.00
| Facility | | $652.00 | $2,679.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.04 / $555.04 / $555.04
| Facility | | $555.04 | $555.04 | $555.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.38 / $335.59 / $479.83
| Facility | | $318.38 | $335.59 | $479.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $637.00 / $2,391.00 / $6,000.00
| Facility | | $637.00 | $2,391.00 | $6,000.00 |