- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $590.92 / $1,302.48 / $18,711.00
| Facility | | $590.92 | $1,302.48 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,511.44 / $9,172.83 / $20,286.13
| Facility | | $1,511.44 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $3,740.43
| Facility | | $714.97 | $870.49 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404.67 / $769.31 / $2,806.97
| Facility | | $404.67 | $769.31 | $2,806.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.08 / $928.32 / $967.64
| Facility | | $598.08 | $928.32 | $967.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $644.62 / $651.23 / $2,961.46
| Facility | | $644.62 | $651.23 | $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
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |