- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $801.00 / $6,470.00 / $20,737.50
| Facility | | $801.00 | $6,470.00 | $20,737.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $20,286.13
| Facility | | $2,961.46 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $3,740.43
| Facility | | $714.97 | $870.49 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.13 / $1,075.54 / $3,280.24
| Facility | | $531.13 | $1,075.54 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $696.78 / $953.41 / $1,020.41
| Facility | | $696.78 | $953.41 | $1,020.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $673.16 / $696.01 / $2,961.46
| Facility | | $673.16 | $696.01 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,145.87 / $9,167.59 / $17,546.59
| Facility | | $6,145.87 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |