- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,037.78 / $5,291.54 / $20,680.40
| Facility | | $3,037.78 | $5,291.54 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,080.64 / $20,723.52
| Facility | | $55.00 | $3,080.64 | $20,723.52 |
- 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
- $2,121.94 / $4,256.62 / $5,627.77
| Facility | | $2,121.94 | $4,256.62 | $5,627.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,164.27 / $4,283.30 / $4,516.47
| Facility | | $3,164.27 | $4,283.30 | $4,516.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,036.01 / $3,036.01 / $3,080.64
| Facility | | $3,036.01 | $3,036.01 | $3,080.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,323.00 / $4,332.00
| Facility | | $650.00 | $1,323.00 | $4,332.00 |