- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $745.16 / $3,210.00 / $13,415.56
| Facility | | $745.16 | $3,210.00 | $13,415.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,208.98 / $7,479.17 / $26,542.00
| Facility | | $1,208.98 | $7,479.17 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $918.00 / $3,311.26
| Facility | | $714.97 | $918.00 | $3,311.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $475.23 / $877.05 / $2,495.04
| Facility | | $475.23 | $877.05 | $2,495.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $655.65 / $974.18 / $1,078.70
| Facility | | $655.65 | $974.18 | $1,078.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $733.41 / $929.09 / $1,915.04
| Facility | | $733.41 | $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 |