- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,140.94 / $4,092.29 / $20,680.40
| Facility | | $2,140.94 | $4,092.29 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,201.37 / $14,791.76
| Facility | | $55.00 | $2,201.37 | $14,791.76 |
- 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
- $1,502.57 / $3,106.05 / $3,973.65
| Facility | | $1,502.57 | $3,106.05 | $3,973.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,272.62 / $3,065.85 / $3,227.39
| Facility | | $2,272.62 | $3,065.85 | $3,227.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,160.36 / $2,160.36 / $2,201.37
| Facility | | $2,160.36 | $2,160.36 | $2,201.37 |
- 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 |