- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,049.07 / $5,326.06 / $20,680.40
| Facility | | $3,049.07 | $5,326.06 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,106.69 / $20,877.52
| Facility | | $55.00 | $3,106.69 | $20,877.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $947.00
| Facility | | $500.00 | $870.49 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,128.15 / $4,374.06 / $5,662.07
| Facility | | $2,128.15 | $4,374.06 | $5,662.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,231.55 / $4,331.51 / $4,554.66
| Facility | | $3,231.55 | $4,331.51 | $4,554.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,062.28 / $3,062.28 / $3,106.69
| Facility | | $3,062.28 | $3,062.28 | $3,106.69 |
- 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 |