- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,779.00 / $12,600.00
| Facility | | $1,000.00 | $3,779.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.25 / $10,182.03 / $16,087.50
| Facility | | $6,409.25 | $10,182.03 | $16,087.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,800.21 / $7,800.21 / $7,800.21
| Facility | | $7,800.21 | $7,800.21 | $7,800.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $449.89 / $679.66 / $9,344.49
| Facility | | $449.89 | $679.66 | $9,344.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $6,980.00 / $14,139.00
| Facility | | $1,851.00 | $6,980.00 | $14,139.00 |