- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,803.00 / $12,600.00
| Facility | | $1,000.00 | $3,803.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,873.50 / $12,508.22 / $19,762.84
| Facility | | $7,873.50 | $12,508.22 | $19,762.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,847.07 / $7,847.07 / $7,847.07
| Facility | | $7,847.07 | $7,847.07 | $7,847.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.45 / $888.94 / $11,495.55
| Facility | | $653.45 | $888.94 | $11,495.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $6,980.00 / $14,139.00
| Facility | | $1,851.00 | $6,980.00 | $14,139.00 |