- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.03 / $8,878.56 / $18,711.00
| Facility | | $384.03 | $8,878.56 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.31 / $15,564.30 / $29,789.77
| Facility | | $281.31 | $15,564.30 | $29,789.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,128.48 / $7,128.48 / $7,128.48
| Facility | | $7,128.48 | $7,128.48 | $7,128.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.16 / $520.49 / $7,737.05
| Facility | | $295.16 | $520.49 | $7,737.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.58 / $410.29 / $432.15
| Facility | | $316.58 | $410.29 | $432.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.31 / $281.31 / $284.70
| Facility | | $281.31 | $281.31 | $284.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,098.52 / $15,564.30 / $29,789.77
| Facility | | $10,098.52 | $15,564.30 | $29,789.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $11,540.00 / $20,708.00
| Facility | | $3,028.00 | $11,540.00 | $20,708.00 |