- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,589.87 / $3,028.45 / $20,680.40
| Facility | | $1,589.87 | $3,028.45 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,608.64 / $10,847.92
| Facility | | $55.00 | $1,608.64 | $10,847.92 |
- 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
- $1,111.04 / $2,290.56 / $2,942.08
| Facility | | $1,111.04 | $2,290.56 | $2,942.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,679.72 / $2,253.05 / $2,358.40
| Facility | | $1,679.72 | $2,253.05 | $2,358.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.05 / $1,585.05 / $1,608.64
| Facility | | $1,585.05 | $1,585.05 | $1,608.64 |
- 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 |