- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.43 / $2,747.00 / $9,119.23
| Facility | | $427.43 | $2,747.00 | $9,119.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.27 / $341.27 / $341.27
| Facility | | $341.27 | $341.27 | $341.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,264.07 / $13,508.61 / $41,550.55
| Facility | | $7,264.07 | $13,508.61 | $41,550.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.00 / $2,483.00 / $8,277.53
| Facility | | $480.00 | $2,483.00 | $8,277.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.27 / $341.27 / $341.27
| Facility | | $341.27 | $341.27 | $341.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.37 / $365.37 / $493.51
| Facility | | $365.37 | $365.37 | $493.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,475.00 / $6,368.00
| Facility | | $2,155.00 | $3,475.00 | $6,368.00 |