- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,763.29
| Facility | | $1,000.00 | $7,838.38 | $8,763.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,823.74 / $19,280.20 / $31,443.48
| Facility | | $7,823.74 | $19,280.20 | $31,443.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.57 / $485.57 / $8,441.54
| Facility | | $485.57 | $485.57 | $8,441.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395.55 / $458.93 / $745.84
| Facility | | $395.55 | $458.93 | $745.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.00 / $9,127.00 / $10,150.00
| Facility | | $1,230.00 | $9,127.00 | $10,150.00 |