- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,266.00 / $8,017.00
| Facility | | $617.00 | $2,266.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.52 / $424.52 / $424.52
| Facility | | $424.52 | $424.52 | $424.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,366.26 / $1,366.26 / $1,998.90
| Facility | | $1,366.26 | $1,366.26 | $1,998.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.00 / $2,422.00 / $8,017.00
| Facility | | $641.00 | $2,422.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.52 / $424.52 / $424.52
| Facility | | $424.52 | $424.52 | $424.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.66 / $238.02 / $1,204.54
| Facility | | $205.66 | $238.02 | $1,204.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $1,078.00 / $3,742.00
| Facility | | $144.00 | $1,078.00 | $3,742.00 |