- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,324.94 / $5,125.00 / $22,024.00
| Facility | | $1,324.94 | $5,125.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,345.41 / $9,064.71
| Facility | | $55.00 | $1,345.41 | $9,064.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $714.97 / $947.00
| Facility | | $500.00 | $714.97 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $925.97 / $1,909.20 / $2,457.59
| Facility | | $925.97 | $1,909.20 | $2,457.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.91 / $1,885.52 / $1,972.48
| Facility | | $1,400.91 | $1,885.52 | $1,972.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,324.12 / $1,324.12 / $1,345.41
| Facility | | $1,324.12 | $1,324.12 | $1,345.41 |
- 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 |