- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $940.74 / $3,066.00 / $8,017.00
| Facility | | $940.74 | $3,066.00 | $8,017.00 |
- 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
- $732.07 / $732.07 / $732.07
| Facility | | $732.07 | $732.07 | $732.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.41 / $14,045.14 / $28,172.74
| Facility | | $11,220.41 | $14,045.14 | $28,172.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $940.74 / $3,839.00 / $8,017.00
| Facility | | $940.74 | $3,839.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $732.07 / $732.07 / $732.07
| Facility | | $732.07 | $732.07 | $732.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $569.36 / $621.50 / $621.50
| Facility | | $569.36 | $621.50 | $621.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $8,589.00 / $22,992.86
| Facility | | $2,468.00 | $8,589.00 | $22,992.86 |