- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $797.00 / $3,213.00 / $10,836.00
| Facility | | $797.00 | $3,213.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,883.43 / $26,360.94 / $52,546.14
| Facility | | $13,883.43 | $26,360.94 | $52,546.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $642.54 / $642.54 / $642.54
| Facility | | $642.54 | $642.54 | $642.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,105.56 / $24,105.56 / $24,105.56
| Facility | | $24,105.56 | $24,105.56 | $24,105.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $95,250.75
| Facility | | $11,500.00 | $26,542.00 | $95,250.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $699.97 / $892.37 / $1,572.36
| Facility | | $699.97 | $892.37 | $1,572.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $699.97 / $907.43 / $1,816.60
| Facility | | $699.97 | $907.43 | $1,816.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,552.00 / $10,235.00 / $36,801.00
| Facility | | $5,552.00 | $10,235.00 | $36,801.00 |