- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $305.06 / $2,769.52 / $18,711.00
| Facility | | $305.06 | $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
- $192.07 / $382.54 / $3,280.24
| Facility | | $192.07 | $382.54 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $240.31 / $325.39 / $339.69
| Facility | | $240.31 | $325.39 | $339.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.42 / $226.22 / $2,961.46
| Facility | | $222.42 | $226.22 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,646.13 / $9,167.59 / $17,546.59
| Facility | | $5,646.13 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.00 / $1,436.00 / $6,857.00
| Facility | | $702.00 | $1,436.00 | $6,857.00 |