- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $797.00 / $3,570.00 / $10,836.00
| Facility | | $797.00 | $3,570.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,359.97 / $9,032.74 / $17,826.21
| Facility | | $4,359.97 | $9,032.74 | $17,826.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533.40 / $5,680.37 / $5,680.37
| Facility | | $533.40 | $5,680.37 | $5,680.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $670.69 / $670.69 / $670.69
| Facility | | $670.69 | $670.69 | $670.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,766.45 / $19,913.50 / $26,542.00
| Facility | | $2,766.45 | $19,913.50 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $564.33 / $733.63 / $1,206.96
| Facility | | $564.33 | $733.63 | $1,206.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $568.67 / $739.80 / $1,286.46
| Facility | | $568.67 | $739.80 | $1,286.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,605.00 / $7,350.00 / $16,000.00
| Facility | | $2,605.00 | $7,350.00 | $16,000.00 |