- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $788.00 / $3,553.00 / $11,232.00
| Facility | | $788.00 | $3,553.00 | $11,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,082.79 / $4,588.18 / $8,300.99
| Facility | | $2,082.79 | $4,588.18 | $8,300.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.72 / $346.72 / $346.72
| Facility | | $346.72 | $346.72 | $346.72 |
- 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
- $375.09 / $483.78 / $841.19
| Facility | | $375.09 | $483.78 | $841.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.09 / $484.69 / $967.94
| Facility | | $375.09 | $484.69 | $967.94 |
- 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 |