- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $535.20 / $2,236.00 / $7,542.00
| Facility | | $535.20 | $2,236.00 | $7,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,609.52 / $8,153.33 / $16,031.22
| Facility | | $3,609.52 | $8,153.33 | $16,031.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.47 / $7,939.60 / $7,939.60
| Facility | | $552.47 | $7,939.60 | $7,939.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,434.96 / $4,434.96 / $4,434.96
| Facility | | $4,434.96 | $4,434.96 | $4,434.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $12,000.00 / $17,524.30
| Facility | | $11,500.00 | $12,000.00 | $17,524.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.88 / $631.36 / $1,175.07
| Facility | | $480.88 | $631.36 | $1,175.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.08 / $639.66 / $1,204.20
| Facility | | $485.08 | $639.66 | $1,204.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $564.00 / $2,064.00 / $4,509.00
| Facility | | $564.00 | $2,064.00 | $4,509.00 |