- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $626.64 / $6,911.86 / $19,115.79
| Facility | | $626.64 | $6,911.86 | $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
- $587.36 / $1,059.17 / $8,316.01
| Facility | | $587.36 | $1,059.17 | $8,316.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.22 / $847.04 / $924.60
| Facility | | $675.22 | $847.04 | $924.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $574.40 / $590.44 / $1,481.16
| Facility | | $574.40 | $590.44 | $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
- $2,155.00 / $3,297.00 / $12,835.00
| Facility | | $2,155.00 | $3,297.00 | $12,835.00 |