- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,238.72 / $5,128.61
| Facility | | $1,000.00 | $2,238.72 | $5,128.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $3,981.07 / $19,498.45
| Facility | | $1,122.02 | $3,981.07 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $478.63 / $3,630.78
| Facility | | $446.68 | $478.63 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,412.54 / $7,079.46
| Facility | | $380.19 | $1,412.54 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $1,778.28 / $2,884.03
| Facility | | $1,778.28 | $1,778.28 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $3,981.07 / $19,498.45
| Facility | | $1,122.02 | $3,981.07 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $9,772.37
| Facility | | $1,071.52 | $3,890.45 | $9,772.37 |