- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.09 / $5,505.30 / $23,967.96
| Facility | | $441.09 | $5,505.30 | $23,967.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.71 / $9,032.98 / $17,279.07
| Facility | | $5,700.71 | $9,032.98 | $17,279.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,763.00 / $3,763.00 / $3,763.00
| Facility | | $3,763.00 | $3,763.00 | $3,763.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.54 / $546.28 / $6,901.60
| Facility | | $347.54 | $546.28 | $6,901.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.19 / $464.23 / $492.32
| Facility | | $365.19 | $464.23 | $492.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.97 / $327.97 / $331.78
| Facility | | $327.97 | $327.97 | $331.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,857.48 / $9,027.82 / $17,279.07
| Facility | | $5,857.48 | $9,027.82 | $17,279.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $6,594.00 / $12,835.00
| Facility | | $2,155.00 | $6,594.00 | $12,835.00 |