- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,145.78 / $7,838.38
| Facility | | $1,000.00 | $2,145.78 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,240.65 / $4,412.99 / $45,000.00
| Facility | | $1,240.65 | $4,412.99 | $45,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.25 / $269.25 / $749.86
| Facility | | $269.25 | $269.25 | $749.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.86 / $410.45 / $3,315.86
| Facility | | $150.86 | $410.45 | $3,315.86 |
- 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 |