- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,290.87 / $3,801.89
| Facility | | $1,000.00 | $2,290.87 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $1,479.11 / $4,897.79
| Facility | | $56.23 | $1,479.11 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $229.09
| Facility | | $97.72 | $97.72 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $741.31 / $1,905.46
| Facility | | $676.08 | $741.31 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $165.96 / $8,511.38
| Facility | | $79.43 | $165.96 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,162.28 / $8,511.38
| Facility | | $616.60 | $3,162.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $1,479.11 / $4,897.79
| Facility | | $56.23 | $1,479.11 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $3,467.37 / $8,511.38
| Facility | | $812.83 | $3,467.37 | $8,511.38 |