- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.88 / $3,730.00 / $12,729.00
| Facility | | $816.88 | $3,730.00 | $12,729.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,770.72 / $7,178.78 / $14,551.59
| Facility | | $3,770.72 | $7,178.78 | $14,551.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.76 / $5,603.53 / $5,603.53
| Facility | | $466.76 | $5,603.53 | $5,603.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,847.00 / $3,795.09 / $4,927.06
| Facility | | $2,847.00 | $3,795.09 | $4,927.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $16,547.20 / $26,542.00
| Facility | | $11,500.00 | $16,547.20 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.47 / $663.72 / $1,204.10
| Facility | | $525.47 | $663.72 | $1,204.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.21 / $675.57 / $1,234.85
| Facility | | $528.21 | $675.57 | $1,234.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $5,870.00 / $13,237.00
| Facility | | $2,093.00 | $5,870.00 | $13,237.00 |