- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.13 / $2,769.52 / $18,711.00
| Facility | | $546.13 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,562.96 / $14,302.50 / $28,049.69
| Facility | | $8,562.96 | $14,302.50 | $28,049.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,585.08 / $3,585.08 / $5,972.71
| Facility | | $3,585.08 | $3,585.08 | $5,972.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $367.65 / $668.35 / $5,463.26
| Facility | | $367.65 | $668.35 | $5,463.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $429.13 / $568.83 / $601.66
| Facility | | $429.13 | $568.83 | $601.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $394.11 / $410.39 / $2,173.03
| Facility | | $394.11 | $410.39 | $2,173.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,508.65 / $14,655.16 / $28,049.69
| Facility | | $9,508.65 | $14,655.16 | $28,049.69 |
- 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 |