- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $4,365.16 / $10,964.78
| Facility | | $1,000.00 | $4,365.16 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $426.58 / $2,290.87
| Facility | | $251.19 | $426.58 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $213.80 / $229.09
| Facility | | $213.80 | $213.80 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $407.38 / $2,511.89
| Facility | | $407.38 | $407.38 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $10,232.93 / $10,232.93
| Facility | | $1,584.89 | $10,232.93 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $323.59 / $1,513.56
| Facility | | $229.09 | $323.59 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $316.23 / $549.54
| Facility | | $223.87 | $316.23 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $6,456.54 / $13,489.63
| Facility | | $2,187.76 | $6,456.54 | $13,489.63 |