- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.86 / $1,659.33 / $17,100.00
| Facility | | $783.86 | $1,659.33 | $17,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,003.08 / $8,052.47 / $16,394.00
| Facility | | $2,003.08 | $8,052.47 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $2,846.84
| Facility | | $625.25 | $761.81 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $502.91 / $944.02 / $2,148.34
| Facility | | $502.91 | $944.02 | $2,148.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $666.90 / $1,158.38 / $1,271.66
| Facility | | $666.90 | $1,158.38 | $1,271.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.78 / $844.39 / $2,218.36
| Facility | | $738.78 | $844.39 | $2,218.36 |
- 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
- $702.00 / $1,436.00 / $6,857.00
| Facility | | $702.00 | $1,436.00 | $6,857.00 |