- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $589.66 / $7,489.85 / $18,711.00
| Facility | | $589.66 | $7,489.85 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,445.31 / $9,032.98 / $23,371.01
| Facility | | $6,445.31 | $9,032.98 | $23,371.01 |
- 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
- $661.84 / $1,042.33 / $8,977.36
| Facility | | $661.84 | $1,042.33 | $8,977.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.88 / $858.81 / $944.03
| Facility | | $691.88 | $858.81 | $944.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $622.89 / $622.89 / $624.69
| Facility | | $622.89 | $622.89 | $624.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,899.78 / $9,027.82 / $17,279.07
| Facility | | $6,899.78 | $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 |