- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.63 / $5,846.10 / $19,900.00
| Facility | | $441.63 | $5,846.10 | $19,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $25,560.89
| Facility | | $5,968.10 | $9,879.37 | $25,560.89 |
- 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
- $303.02 / $562.84 / $6,620.15
| Facility | | $303.02 | $562.84 | $6,620.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.97 / $474.64 / $497.08
| Facility | | $368.97 | $474.64 | $497.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.44 / $331.33 / $1,470.05
| Facility | | $323.44 | $331.33 | $1,470.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.33 / $9,879.37 / $18,898.13
| Facility | | $6,406.33 | $9,879.37 | $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 |