- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $255.14 / $2,291.00 / $18,711.00
| Facility | | $255.14 | $2,291.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,076.26 / $5,068.58 / $12,000.00
| Facility | | $1,076.26 | $5,068.58 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $2,046.84
| Facility | | $466.83 | $568.48 | $2,046.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.80 / $390.72 / $2,097.69
| Facility | | $184.80 | $390.72 | $2,097.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.01 / $271.33 / $383.61
| Facility | | $229.01 | $271.33 | $383.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.73 / $608.39 / $1,167.02
| Facility | | $185.73 | $608.39 | $1,167.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.71 / $5,392.38 / $10,315.01
| Facility | | $3,496.71 | $5,392.38 | $10,315.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $6,857.00
| Facility | | $650.00 | $1,120.00 | $6,857.00 |