- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,890.45 / $12,882.50
| Facility | | $1,000.00 | $3,890.45 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $8,912.51 / $15,848.93
| Facility | | $3,019.95 | $8,912.51 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $489.78 / $501.19
| Facility | | $79.43 | $489.78 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $42,657.95 / $42,657.95
| Facility | | $19,952.62 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $741.31 / $4,365.16
| Facility | | $501.19 | $741.31 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $645.65 / $1,096.48
| Facility | | $501.19 | $645.65 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $4,073.80 / $9,120.11
| Facility | | $1,380.38 | $4,073.80 | $9,120.11 |