- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $759.67 / $4,011.00 / $18,711.00
| Facility | | $759.67 | $4,011.00 | $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
- $625.25 / $761.81 / $3,740.43
| Facility | | $625.25 | $761.81 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422.38 / $869.11 / $3,280.24
| Facility | | $422.38 | $869.11 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $567.91 / $768.49 / $830.80
| Facility | | $567.91 | $768.49 | $830.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.51 / $566.67 / $2,961.46
| Facility | | $544.51 | $566.67 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,693.27 / $9,167.59 / $17,546.59
| Facility | | $6,693.27 | $9,167.59 | $17,546.59 |
- 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 |