- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,644.27
| Facility | | $1,000.00 | $7,838.38 | $8,644.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,524.05 / $8,426.79 / $13,562.56
| Facility | | $2,524.05 | $8,426.79 | $13,562.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $778.43 / $778.43 / $3,456.15
| Facility | | $778.43 | $778.43 | $3,456.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.62 / $794.12 / $1,083.15
| Facility | | $599.62 | $794.12 | $1,083.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $6,599.00 / $7,158.00
| Facility | | $936.00 | $6,599.00 | $7,158.00 |