- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.98 / $2,769.52 / $18,711.00
| Facility | | $500.98 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,795.87 / $5,471.61 / $12,000.00
| Facility | | $1,795.87 | $5,471.61 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $2,190.81
| Facility | | $466.83 | $568.48 | $2,190.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.72 / $596.16 / $1,921.26
| Facility | | $295.72 | $596.16 | $1,921.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.36 / $518.11 / $544.71
| Facility | | $379.36 | $518.11 | $544.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $359.23 / $371.54 / $1,795.87
| Facility | | $359.23 | $371.54 | $1,795.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,913.81 / $5,468.48 / $10,466.57
| Facility | | $3,913.81 | $5,468.48 | $10,466.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |