- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,000.00 / $7,016.00 / $13,151.00
| Facility | | $3,000.00 | $7,016.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $5,540.14 / $5,831.73
| Facility | | $1,615.00 | $5,540.14 | $5,831.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $710.00 / $710.00 / $710.00
| Facility | | $710.00 | $710.00 | $710.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $733.48 / $1,146.71 / $11,209.00
| Facility | | $733.48 | $1,146.71 | $11,209.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,433.00 / $4,960.00 / $11,732.00
| Facility | | $1,433.00 | $4,960.00 | $11,732.00 |