- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.00 / $3,219.00 / $10,639.00
| Facility | | $748.00 | $3,219.00 | $10,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,561.92 / $4,663.00 / $9,025.43
| Facility | | $2,561.92 | $4,663.00 | $9,025.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $429.09 / $2,616.21 / $2,616.21
| Facility | | $429.09 | $2,616.21 | $2,616.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,376.10 / $2,376.10 / $2,376.10
| Facility | | $2,376.10 | $2,376.10 | $2,376.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,388.90 / $26,542.00 / $26,542.00
| Facility | | $9,388.90 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.29 / $604.36 / $1,038.31
| Facility | | $471.29 | $604.36 | $1,038.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.94 / $605.51 / $1,203.91
| Facility | | $471.94 | $605.51 | $1,203.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,314.00 / $7,600.00
| Facility | | $1,154.00 | $3,314.00 | $7,600.00 |