- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,145.78 / $7,838.38
| Facility | | $1,000.00 | $2,145.78 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,034.41 / $5,013.45 / $8,176.28
| Facility | | $2,034.41 | $5,013.45 | $8,176.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.03 / $217.03 / $1,023.75
| Facility | | $217.03 | $217.03 | $1,023.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.64 / $207.78 / $331.76
| Facility | | $177.64 | $207.78 | $331.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.00 / $3,085.00 / $5,060.00
| Facility | | $755.00 | $3,085.00 | $5,060.00 |