- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $655.17 / $4,042.00 / $7,402.47
| Facility | | $655.17 | $4,042.00 | $7,402.47 |
- 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
- $696.06 / $696.06 / $696.06
| Facility | | $696.06 | $696.06 | $696.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,519.42 / $8,753.87 / $18,389.16
| Facility | | $4,519.42 | $8,753.87 | $18,389.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $655.00 / $3,838.00 / $7,799.00
| Facility | | $655.00 | $3,838.00 | $7,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $696.06 / $696.06 / $696.06
| Facility | | $696.06 | $696.06 | $696.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $601.16 / $601.16 / $656.14
| Facility | | $601.16 | $601.16 | $656.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,475.00 / $6,368.00
| Facility | | $2,155.00 | $3,475.00 | $6,368.00 |