- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $669.00 / $2,594.00 / $7,495.00
| Facility | | $669.00 | $2,594.00 | $7,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,086.32 / $3,633.48 / $7,337.28
| Facility | | $2,086.32 | $3,633.48 | $7,337.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $578.41 / $2,596.76 / $2,596.76
| Facility | | $578.41 | $2,596.76 | $2,596.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,512.62 / $1,929.30 / $2,361.01
| Facility | | $1,512.62 | $1,929.30 | $2,361.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,929.30 / $11,500.00 / $16,394.00
| Facility | | $7,929.30 | $11,500.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.29 / $663.59 / $1,308.57
| Facility | | $549.29 | $663.59 | $1,308.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.46 / $675.81 / $1,341.99
| Facility | | $551.46 | $675.81 | $1,341.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,634.00 / $4,200.00 / $10,600.00
| Facility | | $1,634.00 | $4,200.00 | $10,600.00 |