- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.94 / $7,176.01 / $20,680.40
| Facility | | $427.94 | $7,176.01 | $20,680.40 |
- 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
- $883.20 / $1,075.31 / $3,302.92
| Facility | | $883.20 | $1,075.31 | $3,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.76 / $493.13 / $3,021.20
| Facility | | $257.76 | $493.13 | $3,021.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.74 / $432.15 / $472.35
| Facility | | $321.74 | $432.15 | $472.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.95 / $904.15 / $1,781.59
| Facility | | $308.95 | $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 |