- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $941.00 / $3,682.00 / $13,401.00
| Facility | | $941.00 | $3,682.00 | $13,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,596.09 / $4,714.74 / $10,056.11
| Facility | | $2,596.09 | $4,714.74 | $10,056.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.64 / $4,024.03 / $11,714.06
| Facility | | $831.64 | $4,024.03 | $11,714.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.81 / $748.81 / $748.81
| Facility | | $748.81 | $748.81 | $748.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,502.63 / $43,926.00 / $43,926.00
| Facility | | $5,502.63 | $43,926.00 | $43,926.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.52 / $1,110.86 / $2,089.87
| Facility | | $872.52 | $1,110.86 | $2,089.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.52 / $1,134.28 / $2,215.80
| Facility | | $872.52 | $1,134.28 | $2,215.80 |
- 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 |