- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,000.27 / $7,838.38
| Facility | | $1,000.00 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,524.05 / $8,740.11 / $13,916.43
| Facility | | $2,524.05 | $8,740.11 | $13,916.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $893.28 / $893.28 / $3,456.15
| Facility | | $893.28 | $893.28 | $3,456.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.04 / $898.47 / $1,249.79
| Facility | | $602.04 | $898.47 | $1,249.79 |
- 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 |