- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.69 / $2,797.29 / $20,680.40
| Facility | | $1,474.69 | $2,797.29 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,487.54 / $10,073.20
| Facility | | $55.00 | $1,487.54 | $10,073.20 |
- 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
- $1,026.72 / $2,109.88 / $2,727.70
| Facility | | $1,026.72 | $2,109.88 | $2,727.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,545.46 / $2,088.73 / $2,180.85
| Facility | | $1,545.46 | $2,088.73 | $2,180.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,460.93 / $1,460.93 / $1,487.54
| Facility | | $1,460.93 | $1,460.93 | $1,487.54 |
- 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 |