- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.58 / $5,132.00 / $20,680.40
| Facility | | $936.58 | $5,132.00 | $20,680.40 |
- 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
- $634.20 / $1,161.74 / $8,316.01
| Facility | | $634.20 | $1,161.74 | $8,316.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $759.50 / $986.91 / $1,031.13
| Facility | | $759.50 | $986.91 | $1,031.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $680.86 / $703.32 / $1,481.16
| Facility | | $680.86 | $703.32 | $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 |