- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $632.00 / $2,514.00 / $8,246.00
| Facility | | $632.00 | $2,514.00 | $8,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,317.10 / $4,588.59 / $9,477.09
| Facility | | $2,317.10 | $4,588.59 | $9,477.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.72 / $3,470.25 / $6,520.79
| Facility | | $588.72 | $3,470.25 | $6,520.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.16 / $4,620.28 / $4,620.28
| Facility | | $291.16 | $4,620.28 | $4,620.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,770.00 / $2,440.17 / $3,168.02
| Facility | | $1,770.00 | $2,440.17 | $3,168.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,639.60 / $11,500.00 / $16,394.00
| Facility | | $10,639.60 | $11,500.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.10 / $425.27 / $757.92
| Facility | | $325.10 | $425.27 | $757.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.37 / $429.34 / $792.36
| Facility | | $325.37 | $429.34 | $792.36 |
- 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 |