- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,188.42 / $2,216.15 / $20,680.40
| Facility | | $1,188.42 | $2,216.15 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,188.67 / $7,090.51
| Facility | | $55.00 | $1,188.67 | $7,090.51 |
- 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
- $823.05 / $1,674.15 / $2,202.06
| Facility | | $823.05 | $1,674.15 | $2,202.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,242.64 / $1,681.51 / $1,765.45
| Facility | | $1,242.64 | $1,681.51 | $1,765.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,188.67 / $1,188.67 / $1,204.20
| Facility | | $1,188.67 | $1,188.67 | $1,204.20 |
- 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 |