- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.00 / $4,680.00 / $9,676.00
| Facility | | $1,462.00 | $4,680.00 | $9,676.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,551.82 / $1,551.82 / $1,551.82
| Facility | | $1,551.82 | $1,551.82 | $1,551.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.00 / $5,079.00 / $10,527.00
| Facility | | $1,301.00 | $5,079.00 | $10,527.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,551.82 / $1,551.82 / $1,551.82
| Facility | | $1,551.82 | $1,551.82 | $1,551.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.97 / $1,340.17 / $1,340.17
| Facility | | $1,190.97 | $1,340.17 | $1,340.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |