- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.84 / $9,460.59 / $19,115.79
| Facility | | $734.84 | $9,460.59 | $19,115.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,718.33 / $9,804.29 / $25,366.65
| Facility | | $6,718.33 | $9,804.29 | $25,366.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,395.89 / $2,395.89 / $3,991.53
| Facility | | $2,395.89 | $2,395.89 | $3,991.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $629.09 / $1,154.68 / $8,316.01
| Facility | | $629.09 | $1,154.68 | $8,316.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $747.37 / $976.86 / $1,025.09
| Facility | | $747.37 | $976.86 | $1,025.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.42 / $699.21 / $1,481.16
| Facility | | $675.42 | $699.21 | $1,481.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,069.92 / $9,804.29 / $18,754.53
| Facility | | $7,069.92 | $9,804.29 | $18,754.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,245.00 / $3,199.98 / $11,941.00
| Facility | | $2,245.00 | $3,199.98 | $11,941.00 |