- 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
- $2,703.05 / $8,497.34 / $13,529.88
| Facility | | $2,703.05 | $8,497.34 | $13,529.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.33 / $263.33 / $2,820.85
| Facility | | $263.33 | $263.33 | $2,820.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.40 / $339.10 / $447.63
| Facility | | $218.40 | $339.10 | $447.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $6,599.00 / $7,158.00
| Facility | | $936.00 | $6,599.00 | $7,158.00 |