- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,858.61 / $3,508.76 / $20,680.40
| Facility | | $1,858.61 | $3,508.76 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,867.30 / $22,027.04
| Facility | | $55.00 | $1,867.30 | $22,027.04 |
- 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
- $1,291.15 / $2,643.94 / $3,432.57
| Facility | | $1,291.15 | $2,643.94 | $3,432.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,946.28 / $2,609.65 / $2,737.62
| Facility | | $1,946.28 | $2,609.65 | $2,737.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,848.69 / $1,848.69 / $1,867.30
| Facility | | $1,848.69 | $1,848.69 | $1,867.30 |
- 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 |