- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,002.00 / $9,690.00 / $20,135.00
| Facility | | $4,002.00 | $9,690.00 | $20,135.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,646.00 / $15,154.57 / $15,154.57
| Professional | | $3,646.00 | $15,154.57 | $15,154.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,208.00 / $9,905.00 / $19,252.00
| Facility | | $4,208.00 | $9,905.00 | $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
- $92.60 / $10,933.73 / $42,646.08
| Facility | | $92.60 | $10,933.73 | $42,646.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,277.00 / $2,277.00 / $2,277.00
| Facility | | $2,277.00 | $2,277.00 | $2,277.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14,268.69 / $14,268.69 / $14,982.12
| Professional | | $14,268.69 | $14,268.69 | $14,982.12 |
- 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 / $52,595.10
| Facility | | $100.00 | $100.00 | $52,595.10 |
- 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
- $2,277.00 / $15,154.57 / $2,400,000.00
| Facility | | $2,277.00 | $15,154.57 | $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 |