- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.97 / $8,325.00 / $17,200.73
| Facility | | $377.97 | $8,325.00 | $17,200.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,010.16 / $10,612.45 / $26,542.00
| Facility | | $6,010.16 | $10,612.45 | $26,542.00 |
- 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
- $260.39 / $476.41 / $5,516.87
| Facility | | $260.39 | $476.41 | $5,516.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.11 / $404.68 / $421.15
| Facility | | $313.11 | $404.68 | $421.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $279.05 / $286.08 / $1,366.31
| Facility | | $279.05 | $286.08 | $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 |