- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.77 / $3,703.00 / $9,923.87
| Facility | | $555.77 | $3,703.00 | $9,923.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,385.00 / $4,133.00 / $9,074.00
| Facility | | $2,385.00 | $4,133.00 | $9,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.20 / $1,716.00 / $6,213.00
| Facility | | $575.20 | $1,716.00 | $6,213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $680.21 / $680.21 / $1,424.38
| Facility | | $680.21 | $680.21 | $1,424.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.00 / $360.00 / $1,044.81
| Facility | | $225.00 | $360.00 | $1,044.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $680.21 / $74,999.25
| Facility | | $555.00 | $680.21 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,652.00 / $4,370.00 / $9,187.00
| Facility | | $1,652.00 | $4,370.00 | $9,187.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $560.36 / $560.36 / $1,256.51
| Facility | | $560.36 | $560.36 | $1,256.51 |