- 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
- $1,276.43 / $3,062.18 / $4,875.76
| Facility | | $1,276.43 | $3,062.18 | $4,875.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.75 / $176.75 / $1,023.75
| Facility | | $176.75 | $176.75 | $1,023.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.82 / $228.72 / $450.00
| Facility | | $150.82 | $228.72 | $450.00 |
- 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 |