- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $828.00 / $3,511.00 / $11,232.00
| Facility | | $828.00 | $3,511.00 | $11,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,025.94 / $7,275.80 / $14,503.08
| Facility | | $4,025.94 | $7,275.80 | $14,503.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $535.98 / $581.58 / $581.58
| Facility | | $535.98 | $581.58 | $581.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,187.68 / $4,187.68 / $4,187.68
| Facility | | $4,187.68 | $4,187.68 | $4,187.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $26,542.00
| Facility | | $11,500.00 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.54 / $753.36 / $1,393.66
| Facility | | $577.54 | $753.36 | $1,393.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.54 / $763.04 / $1,546.30
| Facility | | $577.54 | $763.04 | $1,546.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $6,000.00 / $13,134.00
| Facility | | $2,093.00 | $6,000.00 | $13,134.00 |