- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.47 / $2,605.00 / $7,799.00
| Facility | | $529.47 | $2,605.00 | $7,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.35 / $6,182.00 / $17,094.48
| Facility | | $5,058.35 | $6,182.00 | $17,094.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.45 / $582.45 / $582.45
| Facility | | $582.45 | $582.45 | $582.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,753.87 / $10,942.35 / $11,236.37
| Facility | | $8,753.87 | $10,942.35 | $11,236.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,605.00 / $8,017.00
| Facility | | $652.00 | $2,605.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.45 / $582.45 / $582.45
| Facility | | $582.45 | $582.45 | $582.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $339.46 / $446.66 / $502.77
| Facility | | $339.46 | $446.66 | $502.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |