- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.39 / $2,747.00 / $8,247.00
| Facility | | $467.39 | $2,747.00 | $8,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $581.04 / $581.04 / $581.04
| Facility | | $581.04 | $581.04 | $581.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,722.05 / $7,315.75 / $14,657.53
| Facility | | $2,722.05 | $7,315.75 | $14,657.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $572.65 / $4,264.00 / $8,986.00
| Facility | | $572.65 | $4,264.00 | $8,986.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $581.04 / $581.04 / $581.04
| Facility | | $581.04 | $581.04 | $581.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.28 / $495.40 / $495.40
| Facility | | $446.28 | $495.40 | $495.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $8,370.00
| Facility | | $1,334.00 | $2,824.00 | $8,370.00 |