- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.00 / $3,445.00 / $12,040.00
| Facility | | $748.00 | $3,445.00 | $12,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,387.53 / $15,582.95 / $31,473.46
| Facility | | $8,387.53 | $15,582.95 | $31,473.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.82 / $296.82 / $296.82
| Facility | | $296.82 | $296.82 | $296.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,831.60 / $10,831.60 / $10,831.60
| Facility | | $10,831.60 | $10,831.60 | $10,831.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $42,800.00
| Facility | | $11,500.00 | $26,542.00 | $42,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.14 / $475.31 / $828.00
| Facility | | $342.14 | $475.31 | $828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.14 / $486.87 / $946.63
| Facility | | $342.14 | $486.87 | $946.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,600.00 / $11,883.00 / $43,953.00
| Facility | | $4,600.00 | $11,883.00 | $43,953.00 |