- 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
- $3,904.89 / $6,203.47 / $9,801.42
| Facility | | $3,904.89 | $6,203.47 | $9,801.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,141.83 / $1,141.83 / $1,141.83
| Facility | | $1,141.83 | $1,141.83 | $1,141.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.25 / $948.62 / $3,536.36
| Facility | | $665.25 | $948.62 | $3,536.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $1,279.00 / $2,637.00
| Facility | | $375.00 | $1,279.00 | $2,637.00 |