- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.33 / $6,067.00 / $13,790.00
| Facility | | $301.33 | $6,067.00 | $13,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,393.00 / $4,111.00 / $8,410.00
| Facility | | $2,393.00 | $4,111.00 | $8,410.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $179.47 / $179.47 / $37,499.62
| Facility | | $179.47 | $179.47 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.04 / $146.04 / $7,227.90
| Facility | | $146.04 | $146.04 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.47 / $336.33 / $2,334.50
| Facility | | $149.47 | $336.33 | $2,334.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.04 / $597.00 / $74,999.25
| Facility | | $146.04 | $597.00 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.04 / $158.04 / $1,133.26
| Facility | | $158.04 | $158.04 | $1,133.26 |