- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $767.00 / $3,219.00 / $10,893.00
| Facility | | $767.00 | $3,219.00 | $10,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,860.11 / $3,214.76 / $6,227.33
| Facility | | $1,860.11 | $3,214.76 | $6,227.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.71 / $479.71 / $500.94
| Facility | | $479.71 | $479.71 | $500.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,494.86 / $1,494.86 / $1,543.72
| Facility | | $1,494.86 | $1,494.86 | $1,543.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,887.55 / $26,542.00 / $26,542.00
| Facility | | $6,887.55 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $532.54 / $662.70 / $1,007.93
| Facility | | $532.54 | $662.70 | $1,007.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $532.54 / $674.14 / $1,095.47
| Facility | | $532.54 | $674.14 | $1,095.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $3,326.00 / $7,600.00
| Facility | | $1,120.00 | $3,326.00 | $7,600.00 |