- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $3,682.00 / $12,729.00
| Facility | | $1,020.00 | $3,682.00 | $12,729.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,321.95 / $5,918.41 / $11,607.72
| Facility | | $3,321.95 | $5,918.41 | $11,607.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.87 / $3,850.75 / $3,850.75
| Facility | | $920.87 | $3,850.75 | $3,850.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,578.19 / $2,578.19 / $2,662.46
| Facility | | $2,578.19 | $2,578.19 | $2,662.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $26,542.00
| Facility | | $11,500.00 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,079.17 / $1,375.43 / $2,239.96
| Facility | | $1,079.17 | $1,375.43 | $2,239.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,079.17 / $1,402.70 / $2,475.00
| Facility | | $1,079.17 | $1,402.70 | $2,475.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $5,958.00 / $13,134.00
| Facility | | $2,093.00 | $5,958.00 | $13,134.00 |