- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $798.60 / $8,369.76 / $22,024.00
| Facility | | $798.60 | $8,369.76 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $15,792.62 / $21,337.39
| Facility | | $55.00 | $15,792.62 | $21,337.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $8,386.64
| Facility | | $500.00 | $870.49 | $8,386.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $578.51 / $1,128.89 / $7,354.80
| Facility | | $578.51 | $1,128.89 | $7,354.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $712.55 / $920.72 / $958.12
| Facility | | $712.55 | $920.72 | $958.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $638.28 / $1,679.99 / $4,632.91
| Facility | | $638.28 | $1,679.99 | $4,632.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,473.20 / $16,151.01 / $30,895.07
| Facility | | $10,473.20 | $16,151.01 | $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 |