- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $767.00 / $3,060.00 / $10,035.06
| Facility | | $767.00 | $3,060.00 | $10,035.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,994.25 / $3,640.66 / $7,003.05
| Facility | | $1,994.25 | $3,640.66 | $7,003.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $629.41 / $2,288.00 / $6,180.79
| Facility | | $629.41 | $2,288.00 | $6,180.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $556.92 / $2,759.08 / $2,759.08
| Facility | | $556.92 | $2,759.08 | $2,759.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,973.56 / $26,542.00 / $26,542.00
| Facility | | $3,973.56 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.51 / $728.48 / $1,034.09
| Facility | | $543.51 | $728.48 | $1,034.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.51 / $721.61 / $1,059.20
| Facility | | $543.51 | $721.61 | $1,059.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,239.00 / $7,600.00
| Facility | | $1,154.00 | $3,239.00 | $7,600.00 |