- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,683.00 / $10,394.18
| Facility | | $1,000.00 | $3,683.00 | $10,394.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,369.58 / $9,962.39 / $15,625.45
| Facility | | $6,369.58 | $9,962.39 | $15,625.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,539.44 / $7,539.44 / $7,539.44
| Facility | | $7,539.44 | $7,539.44 | $7,539.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $503.81 / $753.55 / $6,889.15
| Facility | | $503.81 | $753.55 | $6,889.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.00 / $4,054.00 / $7,077.94
| Facility | | $1,157.00 | $4,054.00 | $7,077.94 |