- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.51 / $3,925.18 / $18,711.00
| Facility | | $549.51 | $3,925.18 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,029.23 / $4,589.03 / $11,500.00
| Facility | | $2,029.23 | $4,589.03 | $11,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $1,985.59
| Facility | | $625.25 | $761.81 | $1,985.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.72 / $828.55 / $1,741.30
| Facility | | $406.72 | $828.55 | $1,741.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.10 / $730.97 / $790.60
| Facility | | $534.10 | $730.97 | $790.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.78 / $537.44 / $1,613.81
| Facility | | $517.78 | $537.44 | $1,613.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,434.81 / $4,589.03 / $8,712.50
| Facility | | $3,434.81 | $4,589.03 | $8,712.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |