- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,683.00 / $8,400.00
| Facility | | $1,000.00 | $3,683.00 | $8,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,481.18 / $14,829.12 / $23,258.65
| Facility | | $9,481.18 | $14,829.12 | $23,258.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.01 / $2,248.01 / $2,248.01
| Facility | | $2,248.01 | $2,248.01 | $2,248.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $644.83 / $913.95 / $4,596.00
| Facility | | $644.83 | $913.95 | $4,596.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $886.00 / $2,900.00 / $5,543.93
| Facility | | $886.00 | $2,900.00 | $5,543.93 |