- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.98 / $2,769.52 / $18,711.00
| Facility | | $308.98 | $2,769.52 | $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
- $210.92 / $437.60 / $1,371.35
| Facility | | $210.92 | $437.60 | $1,371.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.73 / $326.79 / $443.43
| Facility | | $276.73 | $326.79 | $443.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.69 / $552.13 / $929.09
| Facility | | $224.69 | $552.13 | $929.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,168.55 / $3,344.18 / $6,397.05
| Facility | | $2,168.55 | $3,344.18 | $6,397.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $4,087.50 / $6,745.32
| Facility | | $1,120.00 | $4,087.50 | $6,745.32 |