- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,801.89 / $10,232.93
| Facility | | $1,000.00 | $3,801.89 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $3,890.45 / $7,762.47
| Facility | | $1,995.26 | $3,890.45 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $3,311.31 / $6,456.54
| Facility | | $776.25 | $3,311.31 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $3,235.94 / $3,235.94
| Facility | | $223.87 | $3,235.94 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $1,862.09 / $2,344.23
| Facility | | $436.52 | $1,862.09 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $346.74 / $346.74 / $346.74
| Facility | 52 | $346.74 | $346.74 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $33,884.42 / $33,884.42
| Facility | | $7,943.28 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $6,309.57 / $6,309.57 / $6,309.57
| Facility | 52 | $6,309.57 | $6,309.57 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $363.08 / $3,715.35
| Facility | | $245.47 | $363.08 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,370.32 / $5,623.41
| Facility | | $3,388.44 | $5,370.32 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $338.84 / $575.44
| Facility | | $239.88 | $338.84 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $3,890.45 / $8,511.38
| Facility | | $1,288.25 | $3,890.45 | $8,511.38 |