- 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
- $3,253.82 / $11,267.09 / $17,940.02
| Facility | | $3,253.82 | $11,267.09 | $17,940.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $850.44 / $850.44 / $1,656.16
| Facility | | $850.44 | $850.44 | $1,656.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $639.29 / $842.14 / $1,140.21
| Facility | | $639.29 | $842.14 | $1,140.21 |
- 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 |