- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $381.30 / $7,863.94 / $22,024.00
| Facility | | $381.30 | $7,863.94 | $22,024.00 |
- 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
- $325.92 / $594.28 / $5,516.87
| Facility | | $325.92 | $594.28 | $5,516.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.88 / $508.53 / $524.61
| Facility | | $377.88 | $508.53 | $524.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $348.81 / $357.83 / $1,366.31
| Facility | | $348.81 | $357.83 | $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 |