- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $808.99 / $3,925.18 / $18,711.00
| Facility | | $808.99 | $3,925.18 | $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
- $546.53 / $997.59 / $6,620.15
| Facility | | $546.53 | $997.59 | $6,620.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.63 / $852.91 / $890.43
| Facility | | $624.63 | $852.91 | $890.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.64 / $607.35 / $1,470.05
| Facility | | $586.64 | $607.35 | $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 |