- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.94 / $2,181.00 / $7,316.00
| Facility | | $588.94 | $2,181.00 | $7,316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,352.06 / $4,406.39 / $8,890.37
| Facility | | $2,352.06 | $4,406.39 | $8,890.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554.52 / $554.52 / $568.16
| Facility | | $554.52 | $554.52 | $568.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,322.00 / $2,441.00 / $2,809.63
| Facility | | $1,322.00 | $2,441.00 | $2,809.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,102.00 / $11,500.00 / $12,000.00
| Facility | | $11,102.00 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.01 / $666.90 / $1,217.19
| Facility | | $542.01 | $666.90 | $1,217.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $547.03 / $675.74 / $1,339.65
| Facility | | $547.03 | $675.74 | $1,339.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,634.00 / $4,200.00 / $10,600.00
| Facility | | $1,634.00 | $4,200.00 | $10,600.00 |