- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,363.38 / $2,561.41 / $20,680.40
| Facility | | $1,363.38 | $2,561.41 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,376.03 / $9,273.20
| Facility | | $55.00 | $1,376.03 | $9,273.20 |
- 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
- $942.09 / $1,926.79 / $2,523.51
| Facility | | $942.09 | $1,926.79 | $2,523.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,420.02 / $1,931.94 / $2,017.37
| Facility | | $1,420.02 | $1,931.94 | $2,017.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,360.81 / $1,360.81 / $1,376.03
| Facility | | $1,360.81 | $1,360.81 | $1,376.03 |
- 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 |