- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $669.00 / $3,027.00 / $7,316.00
| Facility | | $669.00 | $3,027.00 | $7,316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,069.23 / $3,980.30 / $7,726.91
| Facility | | $2,069.23 | $3,980.30 | $7,726.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $713.60 / $2,797.20 / $6,497.87
| Facility | | $713.60 | $2,797.20 | $6,497.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.46 / $447.46 / $452.23
| Facility | | $447.46 | $447.46 | $452.23 |
- 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
- $490.12 / $615.80 / $1,108.94
| Facility | | $490.12 | $615.80 | $1,108.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $492.40 / $634.85 / $1,159.78
| Facility | | $492.40 | $634.85 | $1,159.78 |
- 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 |