- 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
- $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
- $586.52 / $586.52 / $1,651.99
| Facility | | $586.52 | $586.52 | $1,651.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.76 / $603.21 / $791.26
| Facility | | $487.76 | $603.21 | $791.26 |
- 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 |