- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.91 / $2,124.00 / $6,762.00
| Facility | | $350.91 | $2,124.00 | $6,762.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,971.06 / $3,594.28 / $7,026.24
| Facility | | $1,971.06 | $3,594.28 | $7,026.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.58 / $191.58 / $191.58
| Facility | | $191.58 | $191.58 | $191.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,725.26 / $1,725.26 / $1,725.26
| Facility | | $1,725.26 | $1,725.26 | $1,725.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,062.85 / $12,000.00 / $12,000.00
| Facility | | $1,062.85 | $12,000.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.53 / $304.30 / $567.35
| Facility | | $207.53 | $304.30 | $567.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.53 / $308.07 / $600.61
| Facility | | $207.53 | $308.07 | $600.61 |
- 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 |