- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,000.27 / $7,838.38
| Facility | | $1,000.00 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,075.38 / $12,507.37 / $20,397.88
| Facility | | $5,075.38 | $12,507.37 | $20,397.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.69 / $500.69 / $1,656.16
| Facility | | $500.69 | $500.69 | $1,656.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $412.19 / $483.91 / $749.02
| Facility | | $412.19 | $483.91 | $749.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $6,599.00 / $7,158.00
| Facility | | $936.00 | $6,599.00 | $7,158.00 |