- 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
- $2,034.41 / $5,013.45 / $45,000.00
| Facility | | $2,034.41 | $5,013.45 | $45,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.81 / $209.81 / $2,222.25
| Facility | | $209.81 | $209.81 | $2,222.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.63 / $202.53 / $316.07
| Facility | | $171.63 | $202.53 | $316.07 |
- 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 |