- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,117.57 / $4,040.65 / $20,680.40
| Facility | | $2,117.57 | $4,040.65 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,129.16 / $14,359.36
| Facility | | $55.00 | $2,129.16 | $14,359.36 |
- 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
- $1,486.76 / $3,040.49 / $3,911.05
| Facility | | $1,486.76 | $3,040.49 | $3,911.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.32 / $2,983.50 / $3,121.53
| Facility | | $2,238.32 | $2,983.50 | $3,121.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,076.10 / $2,076.10 / $2,129.16
| Facility | | $2,076.10 | $2,076.10 | $2,129.16 |
- 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 |