- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,822.41 / $3,445.27 / $20,680.40
| Facility | | $1,822.41 | $3,445.27 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,854.51 / $12,474.64
| Facility | | $55.00 | $1,854.51 | $12,474.64 |
- 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
- $1,264.80 / $2,599.17 / $3,373.40
| Facility | | $1,264.80 | $2,599.17 | $3,373.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,907.57 / $2,575.57 / $2,718.86
| Facility | | $1,907.57 | $2,575.57 | $2,718.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,825.14 / $1,825.14 / $1,854.51
| Facility | | $1,825.14 | $1,825.14 | $1,854.51 |
- 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 |