- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $767.00 / $3,213.00 / $10,893.00
| Facility | | $767.00 | $3,213.00 | $10,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,107.84 / $4,243.05 / $8,157.60
| Facility | | $2,107.84 | $4,243.05 | $8,157.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $647.53 / $2,478.63 / $2,478.63
| Facility | | $647.53 | $2,478.63 | $2,478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $772.86 / $772.86 / $772.86
| Facility | | $772.86 | $772.86 | $772.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,508.88 / $11,500.00 / $26,542.00
| Facility | | $2,508.88 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $647.42 / $855.54 / $1,329.37
| Facility | | $647.42 | $855.54 | $1,329.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.50 / $860.86 / $1,383.25
| Facility | | $649.50 | $860.86 | $1,383.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $2,063.00 / $4,509.00
| Facility | | $600.00 | $2,063.00 | $4,509.00 |