- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.38 / $3,066.00 / $7,763.00
| Facility | | $606.38 | $3,066.00 | $7,763.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $26,582.19
| Facility | | $8,639.91 | $11,851.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $718.48 / $718.48 / $718.48
| Facility | | $718.48 | $718.48 | $718.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,395.67 / $10,395.67 / $10,395.67
| Facility | | $10,395.67 | $10,395.67 | $10,395.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.00 / $3,964.00 / $8,017.00
| Facility | | $954.00 | $3,964.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $718.48 / $718.48 / $718.48
| Facility | | $718.48 | $718.48 | $718.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.97 / $477.36 / $596.86
| Facility | | $415.97 | $477.36 | $596.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |