- 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
- $1,437.56 / $3,448.73 / $5,491.23
| Facility | | $1,437.56 | $3,448.73 | $5,491.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.16 / $269.16 / $1,023.75
| Facility | | $269.16 | $269.16 | $1,023.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.01 / $312.23 / $427.36
| Facility | | $225.01 | $312.23 | $427.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.00 / $3,085.00 / $5,060.00
| Facility | | $755.00 | $3,085.00 | $5,060.00 |