- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,838.38 / $8,942.39
| Facility | | $1,000.00 | $7,838.38 | $8,942.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,696.56 / $11,267.09 / $17,940.02
| Facility | | $4,696.56 | $11,267.09 | $17,940.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.79 / $441.79 / $1,656.16
| Facility | | $441.79 | $441.79 | $1,656.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.53 / $439.51 / $570.78
| Facility | | $340.53 | $439.51 | $570.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,092.00 / $9,127.00 / $9,127.00
| Facility | | $2,092.00 | $9,127.00 | $9,127.00 |