- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.19 / $3,400.83 / $8,449.41
| Facility | | $525.19 | $3,400.83 | $8,449.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,292.00 / $5,951.00 / $9,100.00
| Facility | | $3,292.00 | $5,951.00 | $9,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $618.04 / $618.04 / $618.04
| Facility | | $618.04 | $618.04 | $618.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,553.39 / $4,552.41 / $8,013.14
| Facility | | $2,553.39 | $4,552.41 | $8,013.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.25 / $3,484.00 / $8,240.00
| Facility | | $520.25 | $3,484.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $618.04 / $618.04 / $618.04
| Facility | | $618.04 | $618.04 | $618.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.53 / $393.50 / $513.00
| Facility | | $350.53 | $393.50 | $513.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |