- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $622.22 / $7,920.26 / $27,982.24
| Facility | | $622.22 | $7,920.26 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,296.15 / $19,395.98 / $37,102.31
| Facility | | $11,296.15 | $19,395.98 | $37,102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,448.94 / $3,448.94 / $5,745.89
| Facility | | $3,448.94 | $3,448.94 | $5,745.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $421.26 / $767.91 / $7,779.83
| Facility | | $421.26 | $767.91 | $7,779.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.02 / $657.71 / $697.09
| Facility | | $489.02 | $657.71 | $697.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.45 / $463.86 / $2,096.73
| Facility | | $453.45 | $463.86 | $2,096.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,577.42 / $19,384.89 / $37,102.31
| Facility | | $12,577.42 | $19,384.89 | $37,102.31 |
- 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 |