- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $727.00 / $3,213.00 / $10,836.00
| Facility | | $727.00 | $3,213.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,561.92 / $4,663.00 / $9,025.43
| Facility | | $2,561.92 | $4,663.00 | $9,025.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.74 / $160.74 / $160.74
| Facility | | $160.74 | $160.74 | $160.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,376.10 / $2,376.10 / $2,376.10
| Facility | | $2,376.10 | $2,376.10 | $2,376.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,388.90 / $26,542.00 / $26,542.00
| Facility | | $9,388.90 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.44 / $321.39 / $506.81
| Facility | | $178.44 | $321.39 | $506.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.70 / $336.19 / $509.60
| Facility | | $178.70 | $336.19 | $509.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,314.00 / $7,600.00
| Facility | | $1,154.00 | $3,314.00 | $7,600.00 |