- 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
- $4,345.93 / $15,048.81 / $23,961.46
| Facility | | $4,345.93 | $15,048.81 | $23,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.17 / $608.17 / $3,456.15
| Facility | | $608.17 | $608.17 | $3,456.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.73 / $654.07 / $911.20
| Facility | | $512.73 | $654.07 | $911.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,705.00 / $11,259.00 / $12,494.00
| Facility | | $1,705.00 | $11,259.00 | $12,494.00 |