- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,484.93 / $2,817.20 / $20,680.40
| Facility | | $1,484.93 | $2,817.20 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,480.86 / $8,852.34
| Facility | | $55.00 | $1,480.86 | $8,852.34 |
- 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
- $1,035.08 / $2,157.05 / $2,747.43
| Facility | | $1,035.08 | $2,157.05 | $2,747.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,562.61 / $2,121.19 / $2,198.27
| Facility | | $1,562.61 | $2,121.19 | $2,198.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.86 / $1,480.86 / $1,499.42
| Facility | | $1,480.86 | $1,480.86 | $1,499.42 |
- 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 |