- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,605.75 / $4,865.56 / $20,680.40
| Facility | | $2,605.75 | $4,865.56 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,653.80 / $26,755.92
| Facility | | $55.00 | $2,653.80 | $26,755.92 |
- 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
- $1,809.47 / $3,738.46 / $4,836.30
| Facility | | $1,809.47 | $3,738.46 | $4,836.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,737.63 / $3,695.61 / $3,890.69
| Facility | | $2,737.63 | $3,695.61 | $3,890.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,607.02 / $2,607.02 / $2,653.80
| Facility | | $2,607.02 | $2,607.02 | $2,653.80 |
- 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 |