- 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
- $1,790.75 / $4,412.99 / $7,197.01
| Facility | | $1,790.75 | $4,412.99 | $7,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.23 / $173.23 / $5,034.67
| Facility | | $173.23 | $173.23 | $5,034.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.90 / $166.57 / $268.07
| Facility | | $142.90 | $166.57 | $268.07 |
- 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 |