- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.30 / $7,489.85 / $22,024.00
| Facility | | $597.30 | $7,489.85 | $22,024.00 |
- 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
- $513.10 / $1,032.38 / $3,280.24
| Facility | | $513.10 | $1,032.38 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $683.40 / $911.94 / $940.01
| Facility | | $683.40 | $911.94 | $940.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $628.30 / $641.16 / $2,961.46
| Facility | | $628.30 | $641.16 | $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 |