- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $6,177.68 / $11,246.56
| Facility | | $1,000.00 | $6,177.68 | $11,246.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,760.00 / $3,576.00 / $14,996.00
| Facility | | $1,760.00 | $3,576.00 | $14,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.51 / $768.14 / $1,020.20
| Facility | | $598.51 | $768.14 | $1,020.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $769.64 / $769.64 / $5,466.73
| Facility | | $769.64 | $769.64 | $5,466.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,223.00 / $6,522.00
| Facility | | $2,233.00 | $4,223.00 | $6,522.00 |