- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468.82 / $3,925.18 / $17,930.00
| Facility | | $468.82 | $3,925.18 | $17,930.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.97 / $19,056.41 / $38,781.51
| Facility | | $6,526.97 | $19,056.41 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $8,315.84
| Facility | | $625.25 | $761.81 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $392.88 / $794.38 / $7,292.72
| Facility | | $392.88 | $794.38 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.87 / $695.46 / $739.68
| Facility | | $520.87 | $695.46 | $739.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $491.05 / $504.53 / $6,526.97
| Facility | | $491.05 | $504.53 | $6,526.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |