- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $3,548.13 / $8,511.38
| Facility | | $457.09 | $3,548.13 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $1,698.24 / $6,165.95
| Facility | | $426.58 | $1,698.24 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $512.86 / $5,011.87
| Facility | | $512.86 | $512.86 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $426.58 / $1,000.00
| Facility | | $309.03 | $426.58 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $281.84 / $281.84
| Facility | | $281.84 | $281.84 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $50,118.72 / $75,857.76
| Facility | | $389.05 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $3,630.78 / $8,128.31
| Facility | | $1,698.24 | $3,630.78 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $436.52 / $1,949.84
| Facility | | $245.47 | $436.52 | $1,949.84 |