- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $845.51 / $1,370.52 / $14,482.00
| Facility | | $845.51 | $1,370.52 | $14,482.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,060.00 / $7,979.00 / $13,630.00
| Facility | | $5,060.00 | $7,979.00 | $13,630.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,724.74 / $2,015.50 / $3,250.93
| Facility | | $1,724.74 | $2,015.50 | $3,250.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $670.03 / $932.01 / $1,460.44
| Facility | | $670.03 | $932.01 | $1,460.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730.94 / $2,553.00 / $7,700.00
| Facility | | $730.94 | $2,553.00 | $7,700.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $670.03 / $932.01 / $1,460.44
| Facility | | $670.03 | $932.01 | $1,460.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,363.05 / $2,104.76 / $2,786.10
| Professional | | $1,363.05 | $2,104.76 | $2,786.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,255.44 / $7,255.44 / $7,255.44
| Facility | | $7,255.44 | $7,255.44 | $7,255.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,203.00 / $4,316.80 / $19,003.00
| Facility | | $2,203.00 | $4,316.80 | $19,003.00 |