- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $483.53 / $5,116.62 / $16,681.34
| Facility | | $483.53 | $5,116.62 | $16,681.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.50 / $10,639.60 / $16,394.00
| Facility | | $1,954.50 | $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
- $436.38 / $890.94 / $4,064.10
| Facility | | $436.38 | $890.94 | $4,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.50 / $683.60 / $754.56
| Facility | | $577.50 | $683.60 | $754.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473.84 / $1,107.43 / $2,328.38
| Facility | | $473.84 | $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 |