- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $732.00 / $3,174.00 / $10,234.00
| Facility | | $732.00 | $3,174.00 | $10,234.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,795.51 / $6,407.31 / $11,522.94
| Facility | | $2,795.51 | $6,407.31 | $11,522.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.14 / $446.14 / $446.14
| Facility | | $446.14 | $446.14 | $446.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,194.69 / $3,194.69 / $3,194.69
| Facility | | $3,194.69 | $3,194.69 | $3,194.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $26,542.00
| Facility | | $11,500.00 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.87 / $630.38 / $1,232.21
| Facility | | $484.87 | $630.38 | $1,232.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.87 / $641.34 / $1,307.74
| Facility | | $484.87 | $641.34 | $1,307.74 |
- 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 |