- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $3,570.00 / $10,836.00
| Facility | | $789.00 | $3,570.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,436.33 / $4,243.05 / $8,384.57
| Facility | | $2,436.33 | $4,243.05 | $8,384.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.10 / $2,837.51 / $2,837.51
| Facility | | $458.10 | $2,837.51 | $2,837.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.09 / $575.09 / $575.09
| Facility | | $575.09 | $575.09 | $575.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,897.12 / $11,500.00 / $26,542.00
| Facility | | $1,897.12 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $483.71 / $625.70 / $1,033.84
| Facility | | $483.71 | $625.70 | $1,033.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $486.61 / $633.41 / $1,035.36
| Facility | | $486.61 | $633.41 | $1,035.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,634.00 / $4,345.00 / $10,600.00
| Facility | | $1,634.00 | $4,345.00 | $10,600.00 |