- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $862.26 / $7,863.94 / $27,982.24
| Facility | | $862.26 | $7,863.94 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,562.96 / $14,663.54 / $28,049.69
| Facility | | $8,562.96 | $14,663.54 | $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
- $583.79 / $1,068.58 / $6,620.15
| Facility | | $583.79 | $1,068.58 | $6,620.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $704.13 / $911.20 / $950.06
| Facility | | $704.13 | $911.20 | $950.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $626.04 / $648.03 / $2,173.03
| Facility | | $626.04 | $648.03 | $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 |