- 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
- $1,346.45 / $3,318.09 / $5,411.38
| Facility | | $1,346.45 | $3,318.09 | $5,411.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.25 / $303.25 / $1,023.75
| Facility | | $303.25 | $303.25 | $1,023.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.31 / $291.89 / $471.63
| Facility | | $250.31 | $291.89 | $471.63 |
- 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 |