- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,801.89 / $12,882.50
| Facility | | $1,000.00 | $3,801.89 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $4,365.16 / $8,317.64
| Facility | | $2,238.72 | $4,365.16 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $1,148.15 / $1,148.15
| Facility | | $323.59 | $1,148.15 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $33,884.42 / $33,884.42
| Facility | | $8,912.51 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $478.63 / $4,168.69
| Facility | | $323.59 | $478.63 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $416.87 / $724.44
| Facility | | $316.23 | $416.87 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $2,511.89 / $4,897.79
| Facility | | $724.44 | $2,511.89 | $4,897.79 |