- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.22 / $3,016.00 / $17,100.00
| Facility | | $192.22 | $3,016.00 | $17,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,010.16 / $10,612.45 / $20,300.41
| Facility | | $6,010.16 | $10,612.45 | $20,300.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,289.46 / $2,289.46 / $3,814.21
| Facility | | $2,289.46 | $2,289.46 | $3,814.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.92 / $325.41 / $5,516.87
| Facility | | $178.92 | $325.41 | $5,516.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.64 / $277.14 / $288.77
| Facility | | $213.64 | $277.14 | $288.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.26 / $196.97 / $1,366.31
| Facility | | $190.26 | $196.97 | $1,366.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,881.70 / $10,606.39 / $20,300.41
| Facility | | $6,881.70 | $10,606.39 | $20,300.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |