- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735.17 / $8,876.45 / $20,680.40
| Facility | | $735.17 | $8,876.45 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,701.16 / $4,730.13 / $11,500.00
| Facility | | $2,701.16 | $4,730.13 | $11,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $1,985.59
| Facility | | $883.20 | $1,075.31 | $1,985.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.85 / $831.19 / $1,741.30
| Facility | | $405.85 | $831.19 | $1,741.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.35 / $742.80 / $806.68
| Facility | | $546.35 | $742.80 | $806.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $527.75 / $537.44 / $1,613.81
| Facility | | $527.75 | $537.44 | $1,613.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,434.81 / $4,552.03 / $8,712.50
| Facility | | $3,434.81 | $4,552.03 | $8,712.50 |
- 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 |