- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $679.08 / $2,244.00 / $7,729.70
| Facility | | $679.08 | $2,244.00 | $7,729.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,225.92 / $4,438.64 / $8,937.26
| Facility | | $2,225.92 | $4,438.64 | $8,937.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.41 / $657.41 / $677.86
| Facility | | $657.41 | $657.41 | $677.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,322.00 / $2,440.17 / $2,692.61
| Facility | | $1,322.00 | $2,440.17 | $2,692.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,639.60 / $11,500.00 / $12,000.00
| Facility | | $10,639.60 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.26 / $814.48 / $1,454.83
| Facility | | $665.26 | $814.48 | $1,454.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $669.22 / $830.90 / $1,611.03
| Facility | | $669.22 | $830.90 | $1,611.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.00 / $3,239.00 / $7,600.00
| Facility | | $1,190.00 | $3,239.00 | $7,600.00 |