- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.62 / $576.30 / $14,464.32
| Facility | | $264.62 | $576.30 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,007.94 / $8,576.15 / $16,394.00
| Facility | | $1,007.94 | $8,576.15 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $3,302.92
| Facility | | $625.25 | $761.81 | $3,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.96 / $332.16 / $2,793.98
| Facility | | $180.96 | $332.16 | $2,793.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $256.07 / $424.11 / $488.43
| Facility | | $256.07 | $424.11 | $488.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.16 / $904.15 / $1,781.59
| Facility | | $326.16 | $904.15 | $1,781.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.52 / $9,118.81 / $17,453.22
| Facility | | $5,916.52 | $9,118.81 | $17,453.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $2,038.00 / $10,522.00
| Facility | | $1,100.00 | $2,038.00 | $10,522.00 |