- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,715.35 / $12,882.50
| Facility | | $1,000.00 | $3,715.35 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $1,202.26 / $6,760.83
| Facility | | $741.31 | $1,202.26 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $616.60 / $630.96
| Facility | | $79.43 | $616.60 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $6,309.57
| Facility | | $54.95 | $56.23 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $851.14 / $4,168.69
| Facility | | $616.60 | $851.14 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $776.25 / $1,202.26
| Facility | | $602.56 | $776.25 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $2,511.89 / $10,232.93
| Facility | | $446.68 | $2,511.89 | $10,232.93 |