- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.38 / $3,747.14 / $18,711.00
| Facility | | $341.38 | $3,747.14 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,002.57 / $18,231.29 / $37,102.31
| Facility | | $2,002.57 | $18,231.29 | $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
- $295.39 / $2,715.09 / $5,255.78
| Facility | | $295.39 | $2,715.09 | $5,255.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.26 / $2,767.41 / $3,528.22
| Facility | | $387.26 | $2,767.41 | $3,528.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,002.57 / $2,096.73 / $2,197.05
| Facility | | $2,002.57 | $2,096.73 | $2,197.05 |
- 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
- $2,155.00 / $3,297.00 / $12,835.00
| Facility | | $2,155.00 | $3,297.00 | $12,835.00 |