- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,446.21 / $2,754.97 / $20,680.40
| Facility | | $1,446.21 | $2,754.97 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,459.66 / $9,853.76
| Facility | | $55.00 | $1,459.66 | $9,853.76 |
- 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
- $1,012.77 / $2,091.48 / $2,673.68
| Facility | | $1,012.77 | $2,091.48 | $2,673.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,530.27 / $2,050.81 / $2,139.98
| Facility | | $1,530.27 | $2,050.81 | $2,139.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,444.16 / $1,444.16 / $1,459.66
| Facility | | $1,444.16 | $1,444.16 | $1,459.66 |
- 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 |