- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $801.00 / $5,116.62 / $20,680.40
| Facility | | $801.00 | $5,116.62 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $20,286.13
| Facility | | $2,961.46 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $3,740.43
| Facility | | $714.97 | $870.49 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $456.75 / $949.73 / $3,280.24
| Facility | | $456.75 | $949.73 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.03 / $844.17 / $998.97
| Facility | | $593.03 | $844.17 | $998.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $670.89 / $681.39 / $2,961.46
| Facility | | $670.89 | $681.39 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $9,167.59 | $17,546.59 |
- 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 |