- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.82 / $2,997.56 / $7,263.00
| Facility | | $734.82 | $2,997.56 | $7,263.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $4,444.00 / $15,949.31
| Facility | | $3,736.00 | $4,444.00 | $15,949.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $777.32 / $777.32 / $777.32
| Facility | | $777.32 | $777.32 | $777.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.19 / $3,332.34 / $7,116.43
| Facility | | $1,462.19 | $3,332.34 | $7,116.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $722.13 / $3,627.00 / $8,017.00
| Facility | | $722.13 | $3,627.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $777.32 / $777.32 / $777.32
| Facility | | $777.32 | $777.32 | $777.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.66 / $672.66 / $862.29
| Facility | | $672.66 | $672.66 | $862.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.00 / $2,391.00 / $4,789.00
| Facility | | $814.00 | $2,391.00 | $4,789.00 |