- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.49 / $963.70 / $10,453.00
| Facility | | $597.49 | $963.70 | $10,453.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,510.35 / $4,510.35 / $4,576.17
| Facility | | $4,510.35 | $4,510.35 | $4,576.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $14,611.23
| Facility | | $748.70 | $748.70 | $14,611.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.49 / $864.33 / $1,312.23
| Facility | | $597.49 | $864.33 | $1,312.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,302.76 / $42,146.96 / $48,287.50
| Facility | | $2,302.76 | $42,146.96 | $48,287.50 |