- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,527.38 / $2,606.28 / $20,680.40
| Facility | | $1,527.38 | $2,606.28 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,532.78 / $10,317.04
| Facility | | $55.00 | $1,532.78 | $10,317.04 |
- 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
- $1,007.41 / $2,064.64 / $2,698.73
| Facility | | $1,007.41 | $2,064.64 | $2,698.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,416.59 / $2,000.15 / $2,247.17
| Facility | | $1,416.59 | $2,000.15 | $2,247.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,514.83 / $1,514.83 / $1,532.78
| Facility | | $1,514.83 | $1,514.83 | $1,532.78 |
- 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 |