- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,026.00 / $3,908.01 / $13,841.56
| Facility | | $1,026.00 | $3,908.01 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.78 / $448.29 / $841.55
| Facility | | $330.78 | $448.29 | $841.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.95 / $174.65 / $2,000.00
| Facility | | $80.95 | $174.65 | $2,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.00 / $186.27 / $245.69
| Facility | | $140.00 | $186.27 | $245.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |