- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.21 / $3,810.00 / $20,598.54
| Facility | | $458.21 | $3,810.00 | $20,598.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,439.64 / $10,639.60 / $16,394.00
| Facility | | $1,439.64 | $10,639.60 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $4,443.08
| Facility | | $625.25 | $761.81 | $4,443.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.13 / $766.72 / $4,064.10
| Facility | | $407.13 | $766.72 | $4,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.05 / $647.86 / $691.01
| Facility | | $534.05 | $647.86 | $691.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $448.02 / $1,107.43 / $2,328.38
| Facility | | $448.02 | $1,107.43 | $2,328.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,037.75 / $10,846.90 / $20,760.75
| Facility | | $7,037.75 | $10,846.90 | $20,760.75 |
- 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 |