- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,890.45 / $14,125.38
| Facility | | $1,000.00 | $3,890.45 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $12,302.69 / $23,442.29
| Facility | | $6,606.93 | $12,302.69 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $138.04 / $138.04
| Facility | | $138.04 | $138.04 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $6,309.57 / $6,309.57
| Facility | | $6,309.57 | $6,309.57 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $24,547.09
| Facility | | $54.95 | $56.23 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $977.24 / $8,511.38
| Facility | | $177.83 | $977.24 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $229.09 / $446.68
| Facility | | $158.49 | $229.09 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $8,317.64 / $17,378.01
| Facility | | $2,630.27 | $8,317.64 | $17,378.01 |