- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.10 / $1,221.85 / $18,711.00
| Facility | | $551.10 | $1,221.85 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,417.04 / $9,172.83 / $20,286.13
| Facility | | $1,417.04 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.31 / $708.79 / $2,806.97
| Facility | | $365.31 | $708.79 | $2,806.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.04 / $850.85 / $891.10
| Facility | | $544.04 | $850.85 | $891.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.16 / $607.80 / $2,961.46
| Facility | | $591.16 | $607.80 | $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
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |