- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $589.07 / $2,291.00 / $18,711.00
| Facility | | $589.07 | $2,291.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $817.73 / $3,590.15 / $12,000.00
| Facility | | $817.73 | $3,590.15 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $1,499.24
| Facility | | $466.83 | $568.48 | $1,499.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $477.75 / $882.61 / $1,536.21
| Facility | | $477.75 | $882.61 | $1,536.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.78 / $819.41 / $867.65
| Facility | | $598.78 | $819.41 | $867.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.12 / $591.82 / $929.09
| Facility | | $577.12 | $591.82 | $929.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,554.42 / $3,407.94 / $6,397.05
| Facility | | $2,554.42 | $3,407.94 | $6,397.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $6,857.00
| Facility | | $650.00 | $1,120.00 | $6,857.00 |