- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,550.00 / $7,542.00
| Facility | | $617.00 | $2,550.00 | $7,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,065.91 / $3,872.05 / $7,494.30
| Facility | | $2,065.91 | $3,872.05 | $7,494.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.60 / $346.60 / $346.60
| Facility | | $346.60 | $346.60 | $346.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,403.30 / $2,403.30 / $2,403.30
| Facility | | $2,403.30 | $2,403.30 | $2,403.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,496.40 / $16,394.00 / $16,394.00
| Facility | | $9,496.40 | $16,394.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.85 / $490.40 / $812.17
| Facility | | $374.85 | $490.40 | $812.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.85 / $495.05 / $951.78
| Facility | | $374.85 | $495.05 | $951.78 |
- 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 |