- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,559.00 / $5,228.00 / $11,396.00
| Facility | | $2,559.00 | $5,228.00 | $11,396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,079.00 / $7,264.00 / $12,538.00
| Facility | | $4,079.00 | $7,264.00 | $12,538.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,586.47 / $3,586.47 / $37,499.62
| Facility | | $3,586.47 | $3,586.47 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,928.62 / $2,928.62 / $7,227.90
| Facility | | $2,928.62 | $2,928.62 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $3,560.00 / $14,980.72
| Facility | | $332.00 | $3,560.00 | $14,980.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $2,928.62 / $74,999.25
| Facility | | $555.00 | $2,928.62 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,183.43 / $3,183.43 / $9,423.93
| Facility | | $3,183.43 | $3,183.43 | $9,423.93 |