- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.37 / $1,741.00 / $6,432.00
| Facility | | $247.37 | $1,741.00 | $6,432.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.13 / $150.13 / $150.13
| Facility | | $150.13 | $150.13 | $150.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,553.36 / $3,553.36 / $3,553.36
| Facility | | $3,553.36 | $3,553.36 | $3,553.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.37 / $1,633.00 / $7,197.00
| Facility | | $247.37 | $1,633.00 | $7,197.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.13 / $150.13 / $150.13
| Facility | | $150.13 | $150.13 | $150.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.18 / $219.84 / $253.38
| Facility | | $85.18 | $219.84 | $253.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.00 / $1,305.00 / $3,742.00
| Facility | | $471.00 | $1,305.00 | $3,742.00 |