- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,245.82 / $4,676.97 / $22,024.00
| Facility | | $2,245.82 | $4,676.97 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,000.00 / $23,051.71
| Facility | | $55.00 | $5,000.00 | $23,051.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $765.00 / $2,285.42
| Facility | | $714.97 | $765.00 | $2,285.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,734.76 / $3,462.00 / $4,409.64
| Facility | | $1,734.76 | $3,462.00 | $4,409.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,636.20 / $3,478.75 / $3,681.65
| Facility | | $2,636.20 | $3,478.75 | $3,681.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,440.31 / $2,440.31 / $2,511.21
| Facility | | $2,440.31 | $2,440.31 | $2,511.21 |
- 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 |