- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $621.52 / $1,237.14 / $14,464.32
| Facility | | $621.52 | $1,237.14 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,631.84 / $13,744.57 / $28,049.69
| Facility | | $3,631.84 | $13,744.57 | $28,049.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,585.08 / $3,585.08 / $5,972.71
| Facility | | $3,585.08 | $3,585.08 | $5,972.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $483.81 / $943.35 / $4,505.89
| Facility | | $483.81 | $943.35 | $4,505.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.31 / $913.07 / $961.52
| Facility | | $662.31 | $913.07 | $961.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.48 / $652.14 / $2,173.03
| Facility | | $631.48 | $652.14 | $2,173.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,508.65 / $14,655.16 / $28,049.69
| Facility | | $9,508.65 | $14,655.16 | $28,049.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |