- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,673.00 / $7,495.00
| Facility | | $652.00 | $2,673.00 | $7,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,886.01 / $3,937.00 / $7,696.71
| Facility | | $1,886.01 | $3,937.00 | $7,696.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $376.11 / $376.11 / $380.32
| Facility | | $376.11 | $376.11 | $380.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,508.82 / $1,924.45 / $2,355.06
| Facility | | $1,508.82 | $1,924.45 | $2,355.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,909.30 / $11,500.00 / $16,394.00
| Facility | | $7,909.30 | $11,500.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.41 / $518.91 / $912.50
| Facility | | $407.41 | $518.91 | $912.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $411.32 / $529.22 / $962.70
| Facility | | $411.32 | $529.22 | $962.70 |
- 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 |