- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,268.00 / $5,007.00 / $16,508.00
| Facility | | $1,268.00 | $5,007.00 | $16,508.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.18 / $122.18 / $157.44
| Professional | | $122.18 | $122.18 | $157.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,050.37 / $6,100.73 / $12,734.54
| Facility | | $3,050.37 | $6,100.73 | $12,734.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $160.13 / $212.13 / $291.18
| Professional | | $160.13 | $212.13 | $291.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.39 / $176.39 / $176.39
| Facility | | $176.39 | $176.39 | $176.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,314.00 / $12,107.00 / $20,033.00
| Facility | | $9,314.00 | $12,107.00 | $20,033.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,351.60 / $1,703.68 / $1,745.28
| Facility | | $1,351.60 | $1,703.68 | $1,745.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,181.11 / $1,181.11 / $1,488.38
| Professional | | $1,181.11 | $1,181.11 | $1,488.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.19 / $194.03 / $346.80
| Facility | | $161.19 | $194.03 | $346.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $176.39 / $176.39 / $176.39
| Professional | | $176.39 | $176.39 | $176.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.03 / $194.03 / $201.25
| Professional | | $194.03 | $194.03 | $201.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.19 / $221.56 / $13,252.00
| Facility | | $161.19 | $221.56 | $13,252.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $176.39 / $1,800,000.00 / $2,400,000.00
| Professional | | $176.39 | $1,800,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,409.00 / $8,777.00 / $20,955.00
| Facility | | $4,409.00 | $8,777.00 | $20,955.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.59 / $208.02 / $339.30
| Professional | | $150.59 | $208.02 | $339.30 |