- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $632.00 / $2,762.82 / $7,911.34
| Facility | | $632.00 | $2,762.82 | $7,911.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,664.27 / $3,017.00 / $5,844.30
| Facility | | $1,664.27 | $3,017.00 | $5,844.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $311.64 / $311.64 / $325.68
| Facility | | $311.64 | $311.64 | $325.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,263.04 / $1,263.04 / $1,304.32
| Facility | | $1,263.04 | $1,263.04 | $1,304.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,819.45 / $16,394.00 / $16,394.00
| Facility | | $5,819.45 | $16,394.00 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.30 / $413.51 / $641.58
| Facility | | $320.30 | $413.51 | $641.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.30 / $419.90 / $697.35
| Facility | | $320.30 | $419.90 | $697.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $3,264.00 / $7,600.00
| Facility | | $1,120.00 | $3,264.00 | $7,600.00 |