- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,410.21 / $6,042.15 / $20,680.40
| Facility | | $3,410.21 | $6,042.15 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,497.88 / $47,031.68
| Facility | | $55.00 | $3,497.88 | $47,031.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $714.97 / $947.00
| Facility | | $500.00 | $714.97 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,341.12 / $4,204.17 / $6,369.51
| Facility | | $2,341.12 | $4,204.17 | $6,369.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,996.51 / $4,847.72 / $5,128.18
| Facility | | $2,996.51 | $4,847.72 | $5,128.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,414.26 / $3,414.26 / $3,497.88
| Facility | | $3,414.26 | $3,414.26 | $3,497.88 |
- 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 |