- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $774.87 / $2,747.00 / $9,712.42
| Facility | | $774.87 | $2,747.00 | $9,712.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $26,582.19
| Facility | | $8,639.91 | $11,851.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.47 / $933.47 / $933.47
| Facility | | $933.47 | $933.47 | $933.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,872.50 / $14,561.09 / $33,830.35
| Facility | | $1,872.50 | $14,561.09 | $33,830.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $866.39 / $3,745.00 / $9,712.42
| Facility | | $866.39 | $3,745.00 | $9,712.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.47 / $933.47 / $933.47
| Facility | | $933.47 | $933.47 | $933.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $813.75 / $813.75 / $958.10
| Facility | | $813.75 | $813.75 | $958.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,879.00 / $7,508.00
| Facility | | $2,332.00 | $3,879.00 | $7,508.00 |