- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,600.00 / $10,439.00
| Facility | | $1,000.00 | $3,600.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $674.00 / $911.76 / $1,543.97
| Facility | | $674.00 | $911.76 | $1,543.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $1,098.00 / $2,437.00
| Facility | | $800.00 | $1,098.00 | $2,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.04 / $247.28 / $3,019.00
| Facility | | $163.04 | $247.28 | $3,019.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.00 / $2,081.00 / $3,918.00
| Facility | | $816.00 | $2,081.00 | $3,918.00 |