- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,481.31 / $4,728.83 / $20,680.40
| Facility | | $2,481.31 | $4,728.83 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,471.91 / $16,782.16
| Facility | | $55.00 | $2,471.91 | $16,782.16 |
- 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
- $1,747.47 / $3,591.35 / $4,573.89
| Facility | | $1,747.47 | $3,591.35 | $4,573.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,623.46 / $3,484.89 / $3,624.03
| Facility | | $2,623.46 | $3,484.89 | $3,624.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,439.86 / $2,439.86 / $2,471.91
| Facility | | $2,439.86 | $2,439.86 | $2,471.91 |
- 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 |