- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533.23 / $8,020.66 / $18,800.00
| Facility | | $533.23 | $8,020.66 | $18,800.00 |
- 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
- $420.00 / $771.43 / $8,316.01
| Facility | | $420.00 | $771.43 | $8,316.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $504.70 / $651.24 / $684.07
| Facility | | $504.70 | $651.24 | $684.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.74 / $466.60 / $1,481.16
| Facility | | $450.74 | $466.60 | $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 |