- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $784.52 / $1,418.30 / $14,787.29
| Facility | | $784.52 | $1,418.30 | $14,787.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,208.98 / $7,479.17 / $12,000.00
| Facility | | $1,208.98 | $7,479.17 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $3,311.26
| Facility | | $466.83 | $568.48 | $3,311.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.40 / $915.29 / $2,495.04
| Facility | | $501.40 | $915.29 | $2,495.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $696.04 / $1,026.44 / $1,139.00
| Facility | | $696.04 | $1,026.44 | $1,139.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $768.29 / $929.09 / $1,915.04
| Facility | | $768.29 | $929.09 | $1,915.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,324.56 / $7,956.97 / $15,220.78
| Facility | | $5,324.56 | $7,956.97 | $15,220.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $2,038.00 / $10,522.00
| Facility | | $1,100.00 | $2,038.00 | $10,522.00 |