- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,505.00 / $8,104.00
| Facility | | $617.00 | $2,505.00 | $8,104.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.47 / $522.47 / $522.47
| Facility | | $522.47 | $522.47 | $522.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,827.76 / $16,297.28 / $53,266.70
| Facility | | $11,827.76 | $16,297.28 | $53,266.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.00 / $2,483.00 / $8,017.00
| Facility | | $641.00 | $2,483.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.47 / $522.47 / $522.47
| Facility | | $522.47 | $522.47 | $522.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $392.51 / $450.46 / $450.46
| Facility | | $392.51 | $450.46 | $450.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,440.00 / $3,475.00 / $6,000.00
| Facility | | $1,440.00 | $3,475.00 | $6,000.00 |