- 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 / $8,176.28
| Facility | | $2,034.41 | $5,013.45 | $8,176.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.19 / $222.19 / $1,023.75
| Facility | | $222.19 | $222.19 | $1,023.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.61 / $214.30 / $337.68
| Facility | | $181.61 | $214.30 | $337.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,084.00 / $3,085.00 / $8,296.90
| Facility | | $2,084.00 | $3,085.00 | $8,296.90 |