- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,950.17 / $6,118.95 / $22,024.00
| Facility | | $2,950.17 | $6,118.95 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,000.00 / $39,053.00
| Facility | | $55.00 | $5,000.00 | $39,053.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $765.00 / $870.49 / $870.49
| Facility | | $765.00 | $870.49 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,283.46 / $4,565.13 / $5,804.40
| Facility | | $2,283.46 | $4,565.13 | $5,804.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,404.10 / $4,622.33 / $4,898.37
| Facility | | $3,404.10 | $4,622.33 | $4,898.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,229.44 / $3,229.44 / $3,341.13
| Facility | | $3,229.44 | $3,229.44 | $3,341.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.00 / $1,323.00 / $5,793.00
| Facility | | $702.00 | $1,323.00 | $5,793.00 |