- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.87 / $3,016.00 / $18,711.00
| Facility | | $812.87 | $3,016.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,641.35 / $7,929.30 / $16,394.00
| Facility | | $1,641.35 | $7,929.30 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $3,311.26
| Facility | | $625.25 | $761.81 | $3,311.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.44 / $902.62 / $3,028.83
| Facility | | $469.44 | $902.62 | $3,028.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.50 / $840.18 / $891.77
| Facility | | $608.50 | $840.18 | $891.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $596.15 / $929.09 / $1,915.04
| Facility | | $596.15 | $929.09 | $1,915.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,324.56 / $7,956.97 / $15,220.78
| Facility | | $5,324.56 | $7,956.97 | $15,220.78 |
- 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 |