- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $878.54 / $7,474.86 / $17,014.00
| Facility | | $878.54 | $7,474.86 | $17,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,565.00 / $5,480.00 / $25,522.00
| Facility | | $2,565.00 | $5,480.00 | $25,522.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.64 / $612.04 / $727.25
| Facility | | $489.64 | $612.04 | $727.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,726.14 / $7,466.59 / $37,709.37
| Facility | | $4,726.14 | $7,466.59 | $37,709.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.00 / $8,448.00 / $13,382.00
| Facility | | $4,070.00 | $8,448.00 | $13,382.00 |