- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.47 / $5,116.62 / $17,930.00
| Facility | | $356.47 | $5,116.62 | $17,930.00 |
- 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
- $243.13 / $445.29 / $7,196.96
| Facility | | $243.13 | $445.29 | $7,196.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.00 / $379.24 / $409.36
| Facility | | $289.00 | $379.24 | $409.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $262.29 / $265.97 / $1,366.31
| Facility | | $262.29 | $265.97 | $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
- $2,155.00 / $3,297.00 / $12,835.00
| Facility | | $2,155.00 | $3,297.00 | $12,835.00 |