- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.86 / $3,925.18 / $18,711.00
| Facility | | $368.86 | $3,925.18 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.16 / $18,965.00 / $37,102.31
| Facility | | $273.16 | $18,965.00 | $37,102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,753.79 / $4,753.79 / $7,919.76
| Facility | | $4,753.79 | $4,753.79 | $7,919.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.77 / $506.66 / $7,244.24
| Facility | | $269.77 | $506.66 | $7,244.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.55 / $393.51 / $421.82
| Facility | | $295.55 | $393.51 | $421.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.16 / $274.66 / $2,953.03
| Facility | | $273.16 | $274.66 | $2,953.03 |
- 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 |