- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.79 / $9,350.64 / $18,711.00
| Facility | | $645.79 | $9,350.64 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $25,560.89
| Facility | | $5,968.10 | $9,879.37 | $25,560.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.44 / $2,353.44 / $3,920.80
| Facility | | $2,353.44 | $2,353.44 | $3,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.22 / $802.49 / $5,967.13
| Facility | | $437.22 | $802.49 | $5,967.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $527.73 / $678.71 / $710.87
| Facility | | $527.73 | $678.71 | $710.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.21 / $484.88 / $1,470.05
| Facility | | $470.21 | $484.88 | $1,470.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.33 / $9,873.73 / $18,898.13
| Facility | | $6,406.33 | $9,873.73 | $18,898.13 |
- 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 |