- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $785.53 / $8,156.77 / $18,711.00
| Facility | | $785.53 | $8,156.77 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $11,213.87 / $21,602.23
| Facility | | $55.00 | $11,213.87 | $21,602.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $8,974.65
| Facility | | $500.00 | $870.49 | $8,974.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.31 / $5,167.68 / $13,803.47
| Facility | | $662.31 | $5,167.68 | $13,803.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,432.10 / $7,892.54 / $9,300.27
| Facility | | $4,432.10 | $7,892.54 | $9,300.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,585.91 / $5,638.01 / $6,029.88
| Facility | | $3,585.91 | $5,638.01 | $6,029.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,931.42 / $16,351.48 / $31,278.54
| Facility | | $11,931.42 | $16,351.48 | $31,278.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,900.00 / $4,686.00 / $19,271.00
| Facility | | $1,900.00 | $4,686.00 | $19,271.00 |