- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,747.00 / $7,495.00
| Facility | | $652.00 | $2,747.00 | $7,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,594.85 / $6,559.01 / $12,652.54
| Facility | | $3,594.85 | $6,559.01 | $12,652.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.67 / $4,314.99 / $4,314.99
| Facility | | $368.67 | $4,314.99 | $4,314.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,619.61 / $3,619.61 / $3,619.61
| Facility | | $3,619.61 | $3,619.61 | $3,619.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $16,394.00 / $16,394.00
| Facility | | $11,500.00 | $16,394.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $403.34 / $542.87 / $1,122.30
| Facility | | $403.34 | $542.87 | $1,122.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $403.91 / $554.39 / $1,122.30
| Facility | | $403.91 | $554.39 | $1,122.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $6,000.00 / $13,134.00
| Facility | | $2,093.00 | $6,000.00 | $13,134.00 |