- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,304.53 / $5,748.92 / $20,680.40
| Facility | | $3,304.53 | $5,748.92 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,229.62 / $22,054.88
| Facility | | $55.00 | $3,229.62 | $22,054.88 |
- 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
- $2,272.30 / $4,628.30 / $6,009.41
| Facility | | $2,272.30 | $4,628.30 | $6,009.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,432.45 / $4,573.42 / $4,734.89
| Facility | | $3,432.45 | $4,573.42 | $4,734.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,181.42 / $3,181.42 / $3,229.62
| Facility | | $3,181.42 | $3,181.42 | $3,229.62 |
- 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 |