- 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
- $6,272.92 / $15,458.49 / $25,210.77
| Facility | | $6,272.92 | $15,458.49 | $25,210.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $902.44 / $902.44 / $3,456.15
| Facility | | $902.44 | $902.44 | $3,456.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $759.93 / $976.91 / $1,215.96
| Facility | | $759.93 | $976.91 | $1,215.96 |
- 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 |