- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,077.00 / $3,774.00 / $13,401.00
| Facility | | $1,077.00 | $3,774.00 | $13,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $1,573.54 / $1,644.34
| Facility | | $80.00 | $1,573.54 | $1,644.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,891.02 / $1,891.02 / $1,891.02
| Facility | | $1,891.02 | $1,891.02 | $1,891.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $20,541.62
| Facility | | $55.00 | $55.00 | $20,541.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,582.43 / $2,005.63 / $3,377.00
| Facility | | $1,582.43 | $2,005.63 | $3,377.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,582.43 / $2,005.63 / $3,490.50
| Facility | | $1,582.43 | $2,005.63 | $3,490.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,605.00 / $7,184.00 / $16,000.00
| Facility | | $2,605.00 | $7,184.00 | $16,000.00 |