- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $7,943.28 / $20,892.96
| Facility | | $1,412.54 | $7,943.28 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,071.52 / $5,888.44
| Facility | | $891.25 | $1,071.52 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,412.54 / $4,677.35
| Facility | | $676.08 | $1,412.54 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,348.96 / $1,479.11
| Facility | | $977.24 | $1,348.96 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $1,000.00
| Facility | | $1,000.00 | $1,000.00 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,120.11 / $17,378.01
| Facility | | $6,165.95 | $9,120.11 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $9,549.93 / $18,620.87
| Facility | | $1,122.02 | $9,549.93 | $18,620.87 |