- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $848.10 / $2,769.52 / $18,711.00
| Facility | | $848.10 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $18,898.13
| Facility | | $5,968.10 | $9,879.37 | $18,898.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.44 / $2,353.44 / $3,920.80
| Facility | | $2,353.44 | $2,353.44 | $3,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $574.55 / $1,050.23 / $6,620.15
| Facility | | $574.55 | $1,050.23 | $6,620.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $695.80 / $901.15 / $938.00
| Facility | | $695.80 | $901.15 | $938.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $619.25 / $639.79 / $1,470.05
| Facility | | $619.25 | $639.79 | $1,470.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.33 / $9,873.73 / $18,898.13
| Facility | | $6,406.33 | $9,873.73 | $18,898.13 |
- 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 |