- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,366.14 / $5,390.10 / $11,547.00
| Facility | | $1,366.14 | $5,390.10 | $11,547.00 |
- 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
- $1,427.55 / $1,427.55 / $8,917.50
| Facility | | $1,427.55 | $1,427.55 | $8,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,140.36 / $1,140.36 / $7,227.90
| Facility | | $1,140.36 | $1,140.36 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $1,780.34 / $7,377.02
| Facility | | $332.00 | $1,780.34 | $7,377.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $1,140.36 / $74,999.25
| Facility | | $555.00 | $1,140.36 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,705.00 / $7,772.00 / $16,315.49
| Facility | | $2,705.00 | $7,772.00 | $16,315.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,246.16 / $1,246.16 / $3,999.11
| Facility | | $1,246.16 | $1,246.16 | $3,999.11 |