- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.41 / $4,011.00 / $18,711.00
| Facility | | $719.41 | $4,011.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $17,546.59
| Facility | | $2,961.46 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $3,740.43
| Facility | | $625.25 | $761.81 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $418.90 / $853.22 / $3,280.24
| Facility | | $418.90 | $853.22 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $556.64 / $760.92 / $804.00
| Facility | | $556.64 | $760.92 | $804.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511.44 / $548.40 / $2,961.46
| Facility | | $511.44 | $548.40 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $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 |