- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.92 / $3,354.00 / $18,800.00
| Facility | | $231.92 | $3,354.00 | $18,800.00 |
- 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
- $314.48 / $567.08 / $6,620.15
| Facility | | $314.48 | $567.08 | $6,620.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.45 / $360.40 / $495.80
| Facility | | $296.45 | $360.40 | $495.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.64 / $246.32 / $1,470.05
| Facility | | $239.64 | $246.32 | $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 |