- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,958.11 / $3,711.56 / $20,680.40
| Facility | | $1,958.11 | $3,711.56 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,986.58 / $13,365.04
| Facility | | $55.00 | $1,986.58 | $13,365.04 |
- 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
- $1,362.14 / $2,819.03 / $3,622.93
| Facility | | $1,362.14 | $2,819.03 | $3,622.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,060.94 / $2,775.72 / $2,912.49
| Facility | | $2,060.94 | $2,775.72 | $2,912.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,957.41 / $1,957.41 / $1,986.58
| Facility | | $1,957.41 | $1,957.41 | $1,986.58 |
- 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 |