- 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 / $8,378.81 / $13,341.15
| Facility | | $2,703.05 | $8,378.81 | $13,341.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.20 / $714.20 / $2,318.82
| Facility | | $714.20 | $714.20 | $2,318.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.05 / $671.67 / $920.75
| Facility | | $501.05 | $671.67 | $920.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.00 / $9,127.00 / $10,150.00
| Facility | | $1,230.00 | $9,127.00 | $10,150.00 |