- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $790.00 / $3,188.00 / $9,333.39
| Facility | | $790.00 | $3,188.00 | $9,333.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,595.94 / $4,719.33 / $8,995.25
| Facility | | $2,595.94 | $4,719.33 | $8,995.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.00 / $1,647.00 / $10,525.36
| Facility | | $487.00 | $1,647.00 | $10,525.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.78 / $4,127.28 / $4,127.28
| Facility | | $577.78 | $4,127.28 | $4,127.28 |
- 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
- $635.57 / $846.59 / $1,424.92
| Facility | | $635.57 | $846.59 | $1,424.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $634.15 / $847.05 / $1,635.54
| Facility | | $634.15 | $847.05 | $1,635.54 |
- 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 |