- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $430.43 / $2,323.00 / $14,464.32
| Facility | | $430.43 | $2,323.00 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,303.45 / $7,123.96
| Facility | | $55.00 | $3,303.45 | $7,123.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $636.00 / $2,046.84
| Facility | | $466.83 | $636.00 | $2,046.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.62 / $1,293.98 / $2,846.13
| Facility | | $341.62 | $1,293.98 | $2,846.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $917.91 / $1,827.58 / $2,170.67
| Facility | | $917.91 | $1,827.58 | $2,170.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $726.69 / $1,294.68 / $1,319.14
| Facility | | $726.69 | $1,294.68 | $1,319.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.71 / $5,392.38 / $10,315.01
| Facility | | $3,496.71 | $5,392.38 | $10,315.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $6,576.25 / $9,713.75
| Facility | | $1,120.00 | $6,576.25 | $9,713.75 |