- 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
- $6,789.54 / $16,731.59 / $27,287.03
| Facility | | $6,789.54 | $16,731.59 | $27,287.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $890.93 / $890.93 / $890.93
| Facility | | $890.93 | $890.93 | $890.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730.24 / $846.05 / $1,199.72
| Facility | | $730.24 | $846.05 | $1,199.72 |
- 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 |