- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,305.00 / $5,007.00 / $16,550.00
| Facility | | $1,305.00 | $5,007.00 | $16,550.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.66 / $220.66 / $13,004.00
| Professional | | $220.66 | $220.66 | $13,004.00 |
- 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
- $247.74 / $303.23 / $453.12
| Professional | | $247.74 | $303.23 | $453.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.89 / $270.89 / $270.89
| Facility | | $270.89 | $270.89 | $270.89 |
- 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
- $2,075.28 / $2,618.80 / $2,650.96
| Facility | | $2,075.28 | $2,618.80 | $2,650.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,858.31 / $1,858.31 / $2,283.90
| Professional | | $1,858.31 | $1,858.31 | $2,283.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.03 / $301.29 / $544.49
| Facility | | $253.03 | $301.29 | $544.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $270.89 / $270.89 / $270.89
| Professional | | $270.89 | $270.89 | $270.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.99 / $297.99 / $310.35
| Professional | | $297.99 | $297.99 | $310.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.03 / $340.66 / $13,252.00
| Facility | | $253.03 | $340.66 | $13,252.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $270.89 / $1,800,000.00 / $2,400,000.00
| Professional | | $270.89 | $1,800,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $6,000.00 / $14,616.00
| Facility | | $2,093.00 | $6,000.00 | $14,616.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.46 / $321.33 / $531.04
| Professional | | $237.46 | $321.33 | $531.04 |