- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.00 / $3,617.00 / $11,232.00
| Facility | | $812.00 | $3,617.00 | $11,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,860.11 / $3,275.41 / $6,469.95
| Facility | | $1,860.11 | $3,275.41 | $6,469.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.56 / $457.56 / $477.73
| Facility | | $457.56 | $457.56 | $477.73 |
- 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
- $505.51 / $643.45 / $1,123.59
| Facility | | $505.51 | $643.45 | $1,123.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $507.76 / $655.75 / $1,540.68
| Facility | | $507.76 | $655.75 | $1,540.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $3,264.00 / $7,600.00
| Facility | | $1,120.00 | $3,264.00 | $7,600.00 |