- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,991.00 / $9,674.00 / $20,509.00
| Facility | | $3,991.00 | $9,674.00 | $20,509.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,646.00 / $16,536.72 / $16,536.72
| Professional | | $3,646.00 | $16,536.72 | $16,536.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,314.00 / $10,099.00 / $19,252.00
| Facility | | $4,314.00 | $10,099.00 | $19,252.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $298.00 / $317.00 / $330.00
| Professional | | $298.00 | $317.00 | $330.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.90 / $100.00 / $7,369.93
| Facility | | $66.90 | $100.00 | $7,369.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,980.00 / $18,710.48 / $33,511.30
| Facility | | $5,980.00 | $18,710.48 | $33,511.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13,357.96 / $13,357.96 / $14,025.86
| Professional | | $13,357.96 | $13,357.96 | $14,025.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $393.93 / $638.07 / $801.00
| Professional | | $393.93 | $638.07 | $801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $49,238.10
| Facility | | $100.00 | $100.00 | $49,238.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $85.00
| Professional | | $60.00 | $60.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,980.00 / $17,363.56 / $2,400,000.00
| Facility | | $5,980.00 | $17,363.56 | $2,400,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,250,000.00 / $2,250,000.00 / $2,400,000.00
| Professional | | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $13,651.00 / $29,312.00
| Facility | | $7,212.00 | $13,651.00 | $29,312.00 |