- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $767.00 / $3,219.00 / $10,893.00
| Facility | | $767.00 | $3,219.00 | $10,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,135.21 / $4,297.80 / $8,212.35
| Facility | | $2,135.21 | $4,297.80 | $8,212.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.33 / $971.16 / $971.16
| Facility | | $548.33 | $971.16 | $971.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.08 / $649.08 / $649.08
| Facility | | $649.08 | $649.08 | $649.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,111.08 / $11,500.00 / $26,542.00
| Facility | | $2,111.08 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $536.25 / $697.41 / $1,102.29
| Facility | | $536.25 | $697.41 | $1,102.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $536.25 / $703.38 / $1,119.01
| Facility | | $536.25 | $703.38 | $1,119.01 |
- 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 |