- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $706.31 / $4,011.00 / $20,680.40
| Facility | | $706.31 | $4,011.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,915.37 / $16,394.00 / $24,378.75
| Facility | | $4,915.37 | $16,394.00 | $24,378.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $10,180.54
| Facility | | $625.25 | $761.81 | $10,180.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.70 / $878.56 / $8,928.00
| Facility | | $453.70 | $878.56 | $8,928.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $579.38 / $749.99 / $799.98
| Facility | | $579.38 | $749.99 | $799.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.69 / $1,107.43 / $5,857.06
| Facility | | $518.69 | $1,107.43 | $5,857.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,940.60 / $16,141.78 / $30,895.07
| Facility | | $9,940.60 | $16,141.78 | $30,895.07 |
- 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 |