- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $732.24 / $3,925.18 / $18,711.00
| Facility | | $732.24 | $3,925.18 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,866.94 / $16,394.00 / $31,745.76
| Facility | | $9,866.94 | $16,394.00 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,147.74 / $4,147.74 / $6,910.09
| Facility | | $4,147.74 | $4,147.74 | $6,910.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513.32 / $880.09 / $6,447.65
| Facility | | $513.32 | $880.09 | $6,447.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $572.32 / $759.20 / $801.04
| Facility | | $572.32 | $759.20 | $801.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.01 / $535.15 / $2,513.62
| Facility | | $530.01 | $535.15 | $2,513.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,586.25 / $31,745.76
| Facility | | $10,761.59 | $16,586.25 | $31,745.76 |
- 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 |