- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $486.32 / $2,124.00 / $6,762.00
| Facility | | $486.32 | $2,124.00 | $6,762.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,384.26 / $7,275.80 / $14,454.58
| Facility | | $3,384.26 | $7,275.80 | $14,454.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.41 / $316.41 / $467.41
| Facility | | $316.41 | $316.41 | $467.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,322.00 / $3,533.90 / $4,187.68
| Facility | | $1,322.00 | $3,533.90 | $4,187.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,390.82 / $11,500.00 / $12,000.00
| Facility | | $2,390.82 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.35 / $474.65 / $798.75
| Facility | | $341.35 | $474.65 | $798.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.41 / $475.45 / $967.56
| Facility | | $342.41 | $475.45 | $967.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.00 / $3,239.00 / $7,600.00
| Facility | | $1,190.00 | $3,239.00 | $7,600.00 |