- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.00 / $3,620.00 / $12,377.00
| Facility | | $872.00 | $3,620.00 | $12,377.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,260.51 / $2,155.07 / $4,486.34
| Facility | | $1,260.51 | $2,155.07 | $4,486.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $376.33 / $377.84
| Facility | | $80.00 | $376.33 | $377.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $462.00 / $462.00 / $462.00
| Facility | | $462.00 | $462.00 | $462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,521.04 / $11,500.00 / $26,542.00
| Facility | | $1,521.04 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.53 / $464.53 / $746.57
| Facility | | $375.53 | $464.53 | $746.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.00 / $464.76 / $810.36
| Facility | | $378.00 | $464.76 | $810.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $2,064.00 / $4,509.00
| Facility | | $600.00 | $2,064.00 | $4,509.00 |