- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,401.00 / $11,581.00
| Facility | | $1,000.00 | $3,401.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,895.00 / $3,974.00 / $29,406.00
| Facility | | $1,895.00 | $3,974.00 | $29,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $796.32 / $955.58 / $1,493.10
| Facility | | $796.32 | $955.58 | $1,493.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,383.00 / $6,522.00
| Facility | | $2,233.00 | $4,383.00 | $6,522.00 |