- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $2,691.53 / $8,317.64
| Facility | | $794.33 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $5,248.07 / $57,543.99
| Facility | | $5,011.87 | $5,248.07 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $1,000.00
| Facility | | $1,000.00 | $1,000.00 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $1,621.81 / $18,197.01
| Facility | | $1,584.89 | $1,621.81 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $1,995.26 / $7,244.36
| Facility | | $660.69 | $1,995.26 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $724.44 / $1,288.25
| Facility | | $724.44 | $724.44 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $512.86 / $616.60
| Facility | | $309.03 | $512.86 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,754.23 / $10,000.00
| Facility | | $1,000.00 | $2,754.23 | $10,000.00 |