- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.41 / $2,323.00 / $20,680.40
| Facility | | $302.41 | $2,323.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.00 / $9,558.29 / $12,000.00
| Facility | | $204.00 | $9,558.29 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $568.48 / $568.48 / $3,991.53
| Facility | | $568.48 | $568.48 | $3,991.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.88 / $494.00 / $3,500.44
| Facility | | $273.88 | $494.00 | $3,500.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.15 / $427.55 / $499.12
| Facility | | $370.15 | $427.55 | $499.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,718.33 / $6,718.33 / $9,804.29
| Facility | | $6,718.33 | $6,718.33 | $9,804.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.00 / $2,937.00 / $8,681.00
| Facility | | $1,300.00 | $2,937.00 | $8,681.00 |