- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $6,309.57 / $11,220.18
| Facility | | $794.33 | $6,309.57 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,000.00 / $57,543.99
| Facility | | $9,549.93 | $10,000.00 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $23,442.29 / $36,307.81
| Facility | | $4,365.16 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $5,370.32 / $10,964.78
| Facility | | $831.76 | $5,370.32 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $4,897.79 / $8,511.38
| Facility | | $4,897.79 | $4,897.79 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $2,884.03 / $4,466.84
| Facility | | $446.68 | $2,884.03 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $5,495.41 / $33,113.11
| Facility | | $2,454.71 | $5,495.41 | $33,113.11 |