- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.75 / $2,444.00 / $6,164.49
| Facility | | $559.75 | $2,444.00 | $6,164.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.34 / $2,382.82 / $4,781.22
| Facility | | $1,230.34 | $2,382.82 | $4,781.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.00 / $1,825.56 / $4,183.20
| Facility | | $545.00 | $1,825.56 | $4,183.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.30 / $1,438.71 / $1,438.71
| Facility | | $226.30 | $1,438.71 | $1,438.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $935.02 / $1,240.44 / $2,213.00
| Facility | | $935.02 | $1,240.44 | $2,213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,901.45 / $11,500.00 / $16,394.00
| Facility | | $4,901.45 | $11,500.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.36 / $434.23 / $719.14
| Facility | | $253.36 | $434.23 | $719.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.36 / $448.11 / $747.99
| Facility | | $253.36 | $448.11 | $747.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.00 / $2,045.00 / $4,480.00
| Facility | | $593.00 | $2,045.00 | $4,480.00 |