- 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
- $2,297.46 / $4,297.80 / $8,403.96
| Facility | | $2,297.46 | $4,297.80 | $8,403.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $614.10 / $614.10
| Facility | | $80.00 | $614.10 | $614.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $731.84 / $731.84 / $731.84
| Facility | | $731.84 | $731.84 | $731.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,389.04 / $11,500.00 / $26,542.00
| Facility | | $2,389.04 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $607.52 / $777.74 / $1,200.67
| Facility | | $607.52 | $777.74 | $1,200.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.59 / $782.65 / $1,240.26
| Facility | | $608.59 | $782.65 | $1,240.26 |
- 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 |