- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.00 / $3,601.00 / $11,453.00
| Facility | | $872.00 | $3,601.00 | $11,453.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,849.87 / $7,130.28 / $14,309.06
| Facility | | $3,849.87 | $7,130.28 | $14,309.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.59 / $594.59 / $600.66
| Facility | | $594.59 | $594.59 | $600.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,847.00 / $3,795.09 / $4,927.06
| Facility | | $2,847.00 | $3,795.09 | $4,927.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $16,547.20 / $26,542.00
| Facility | | $11,500.00 | $16,547.20 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.24 / $819.80 / $1,527.29
| Facility | | $658.24 | $819.80 | $1,527.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.52 / $834.89 / $1,775.41
| Facility | | $665.52 | $834.89 | $1,775.41 |
- 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 |