- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $671.00 / $3,102.00 / $10,836.00
| Facility | | $671.00 | $3,102.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,597.05 / $11,615.61 / $23,231.22
| Facility | | $6,597.05 | $11,615.61 | $23,231.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.19 / $10,489.19 / $10,489.19
| Facility | | $295.19 | $10,489.19 | $10,489.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,220.68 / $9,220.68 / $9,220.68
| Facility | | $9,220.68 | $9,220.68 | $9,220.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $11,933.00 / $36,434.60
| Facility | | $55.00 | $11,933.00 | $36,434.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.04 / $405.45 / $750.27
| Facility | | $326.04 | $405.45 | $750.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.04 / $410.96 / $861.53
| Facility | | $326.04 | $410.96 | $861.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,600.00 / $11,449.00 / $43,953.00
| Facility | | $4,600.00 | $11,449.00 | $43,953.00 |