- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $885.93 / $7,397.00 / $18,317.75
| Facility | | $885.93 | $7,397.00 | $18,317.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,974.71 / $9,837.79 / $20,505.30
| Facility | | $3,974.71 | $9,837.79 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,164.62 / $3,069.70 / $7,384.57
| Facility | | $2,164.62 | $3,069.70 | $7,384.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.68 / $2,806.44 / $5,814.63
| Facility | | $1,759.68 | $2,806.44 | $5,814.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,319.30 / $2,313.21 / $12,367.00
| Facility | | $1,319.30 | $2,313.21 | $12,367.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |