- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.06 / $9,496.18 / $17,732.50
| Facility | | $439.06 | $9,496.18 | $17,732.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,140.42 / $8,552.21 / $26,542.00
| Facility | | $1,140.42 | $8,552.21 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,005.16 / $1,223.70 / $3,302.92
| Facility | | $1,005.16 | $1,223.70 | $3,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $343.50 / $672.52 / $3,021.20
| Facility | | $343.50 | $672.52 | $3,021.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.44 / $581.55 / $619.08
| Facility | | $439.44 | $581.55 | $619.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.25 / $904.15 / $1,781.59
| Facility | | $407.25 | $904.15 | $1,781.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.52 / $9,118.81 / $17,453.22
| Facility | | $5,916.52 | $9,118.81 | $17,453.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $2,038.00 / $10,522.00
| Facility | | $1,100.00 | $2,038.00 | $10,522.00 |