- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $947.10 / $6,470.00 / $20,680.40
| Facility | | $947.10 | $6,470.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,490.98 / $9,167.59 / $17,907.41
| Facility | | $5,490.98 | $9,167.59 | $17,907.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.81 / $1,040.36 / $3,280.24
| Facility | | $489.81 | $1,040.36 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.39 / $959.44 / $1,037.16
| Facility | | $691.39 | $959.44 | $1,037.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $678.59 / $707.44 / $2,961.46
| Facility | | $678.59 | $707.44 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $9,167.59 | $17,546.59 |
- 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 |