- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.21 / $2,769.52 / $18,711.00
| Facility | | $500.21 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $17,546.59
| Facility | | $2,961.46 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $3,740.43
| Facility | | $466.83 | $568.48 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.89 / $611.70 / $3,280.24
| Facility | | $303.89 | $611.70 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $399.35 / $535.11 / $559.20
| Facility | | $399.35 | $535.11 | $559.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.02 / $372.00 / $2,961.46
| Facility | | $366.02 | $372.00 | $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
- $2,408.00 / $11,261.00 / $18,561.84
| Facility | | $2,408.00 | $11,261.00 | $18,561.84 |