- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $854.00 / $3,174.00 / $10,836.00
| Facility | | $854.00 | $3,174.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,354.21 / $4,243.05 / $8,173.76
| Facility | | $2,354.21 | $4,243.05 | $8,173.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $930.24 / $930.24
| Facility | | $80.00 | $930.24 | $930.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,121.08 / $1,121.08 / $1,121.08
| Facility | | $1,121.08 | $1,121.08 | $1,121.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,679.08 / $11,500.00 / $26,542.00
| Facility | | $3,679.08 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $901.57 / $1,188.51 / $1,821.87
| Facility | | $901.57 | $1,188.51 | $1,821.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $903.09 / $1,201.84 / $1,940.85
| Facility | | $903.09 | $1,201.84 | $1,940.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,634.00 / $4,345.00 / $10,600.00
| Facility | | $1,634.00 | $4,345.00 | $10,600.00 |