- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $3,500.00 / $10,893.00
| Facility | | $657.00 | $3,500.00 | $10,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,910.17 / $7,033.27 / $14,454.58
| Facility | | $3,910.17 | $7,033.27 | $14,454.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.34 / $400.34 / $556.75
| Facility | | $400.34 | $400.34 | $556.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,500.00 / $3,795.09 / $4,619.00
| Facility | | $2,500.00 | $3,795.09 | $4,619.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,165.00 / $11,500.00 / $26,542.00
| Facility | | $3,165.00 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.83 / $621.21 / $1,127.91
| Facility | | $458.83 | $621.21 | $1,127.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.82 / $627.34 / $1,250.51
| Facility | | $459.82 | $627.34 | $1,250.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $5,870.00 / $13,237.00
| Facility | | $2,093.00 | $5,870.00 | $13,237.00 |