- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $614.34 / $3,066.00 / $8,451.00
| Facility | | $614.34 | $3,066.00 | $8,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.35 / $6,182.00 / $17,094.48
| Facility | | $5,058.35 | $6,182.00 | $17,094.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.66 / $739.66 / $739.66
| Facility | | $739.66 | $739.66 | $739.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,672.17 / $18,383.11 / $24,169.11
| Facility | | $10,672.17 | $18,383.11 | $24,169.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $3,731.00 / $8,017.00
| Facility | | $657.00 | $3,731.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.66 / $739.66 / $739.66
| Facility | | $739.66 | $739.66 | $739.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $420.46 / $550.54 / $746.04
| Facility | | $420.46 | $550.54 | $746.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |