- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.36 / $3,252.25 / $20,680.40
| Facility | | $1,621.36 | $3,252.25 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,768.13 / $11,879.04
| Facility | | $55.00 | $1,768.13 | $11,879.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $947.00
| Facility | | $500.00 | $870.49 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.01 / $2,449.66 / $3,158.54
| Facility | | $1,200.01 | $2,449.66 | $3,158.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,800.75 / $2,461.87 / $2,592.23
| Facility | | $1,800.75 | $2,461.87 | $2,592.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,745.41 / $1,745.41 / $1,768.13
| Facility | | $1,745.41 | $1,745.41 | $1,768.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $5,793.00
| Facility | | $650.00 | $1,120.00 | $5,793.00 |