- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,244.36 / $18,620.87
| Facility | | $1,000.00 | $7,244.36 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $14,454.40 / $19,498.45
| Facility | | $6,456.54 | $14,454.40 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $891.25 / $1,000.00
| Facility | | $812.83 | $891.25 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,412.54 / $1,995.26
| Facility | | $933.25 | $1,412.54 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $9,549.93 / $16,218.10
| Facility | | $1,288.25 | $9,549.93 | $16,218.10 |