- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $803.00 / $3,947.00 / $13,401.00
| Facility | | $803.00 | $3,947.00 | $13,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,189.96 / $4,325.17 / $8,332.00
| Facility | | $2,189.96 | $4,325.17 | $8,332.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $458.72 / $463.84
| Facility | | $80.00 | $458.72 | $463.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.83 / $575.83 / $575.83
| Facility | | $575.83 | $575.83 | $575.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,899.04 / $11,500.00 / $26,542.00
| Facility | | $1,899.04 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.26 / $616.46 / $1,006.81
| Facility | | $484.26 | $616.46 | $1,006.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.26 / $623.76 / $1,015.33
| Facility | | $484.26 | $623.76 | $1,015.33 |
- 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 |