- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,512.61 / $2,897.25 / $20,680.40
| Facility | | $1,512.61 | $2,897.25 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,518.15 / $10,320.32
| Facility | | $55.00 | $1,518.15 | $10,320.32 |
- 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
- $1,063.92 / $2,153.85 / $2,811.74
| Facility | | $1,063.92 | $2,153.85 | $2,811.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,575.35 / $2,149.56 / $2,225.73
| Facility | | $1,575.35 | $2,149.56 | $2,225.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,493.09 / $1,493.09 / $1,518.15
| Facility | | $1,493.09 | $1,493.09 | $1,518.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,900.00 / $4,686.00 / $19,271.00
| Facility | | $1,900.00 | $4,686.00 | $19,271.00 |