- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $803.00 / $3,511.00 / $10,508.00
| Facility | | $803.00 | $3,511.00 | $10,508.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,905.20 / $8,972.92 / $17,826.21
| Facility | | $4,905.20 | $8,972.92 | $17,826.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.09 / $8,499.82 / $8,499.82
| Facility | | $585.09 | $8,499.82 | $8,499.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $732.23 / $732.23 / $732.23
| Facility | | $732.23 | $732.23 | $732.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,396.52 / $19,913.50 / $26,542.00
| Facility | | $2,396.52 | $19,913.50 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.01 / $834.03 / $1,437.46
| Facility | | $631.01 | $834.03 | $1,437.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.01 / $837.72 / $1,469.21
| Facility | | $631.01 | $837.72 | $1,469.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $6,002.00 / $13,237.00
| Facility | | $2,093.00 | $6,002.00 | $13,237.00 |