- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $5,116.62 / $20,000.00
| Facility | | $1,733.00 | $5,116.62 | $20,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,352.72 / $16,586.25 / $31,745.76
| Facility | | $1,352.72 | $16,586.25 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $8,828.65
| Facility | | $466.83 | $568.48 | $8,828.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,066.50 / $2,132.36 / $7,004.34
| Facility | | $1,066.50 | $2,132.36 | $7,004.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,419.84 / $1,915.53 / $1,983.20
| Facility | | $1,419.84 | $1,915.53 | $1,983.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,321.85 / $1,352.72 / $6,911.32
| Facility | | $1,321.85 | $1,352.72 | $6,911.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,586.25 / $31,745.76
| Facility | | $10,761.59 | $16,586.25 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |