- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $752.11 / $2,965.00 / $10,048.00
| Facility | | $752.11 | $2,965.00 | $10,048.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,307.00 / $9,032.74 / $17,826.21
| Facility | | $4,307.00 | $9,032.74 | $17,826.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $660.68 / $667.33
| Facility | | $80.00 | $660.68 | $667.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,220.88 / $1,220.88 / $1,220.88
| Facility | | $1,220.88 | $1,220.88 | $1,220.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,348.40 / $11,500.00 / $26,542.00
| Facility | | $3,348.40 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $701.53 / $910.99 / $1,496.27
| Facility | | $701.53 | $910.99 | $1,496.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.52 / $913.62 / $1,532.82
| Facility | | $702.52 | $913.62 | $1,532.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,326.00 / $7,600.00
| Facility | | $1,154.00 | $3,326.00 | $7,600.00 |