- 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
- $8,916.37 / $21,972.82 / $35,834.78
| Facility | | $8,916.37 | $21,972.82 | $35,834.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $394.44 / $394.44 / $4,813.85
| Facility | | $394.44 | $394.44 | $4,813.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.18 / $613.58 / $5,397.95
| Facility | | $220.18 | $613.58 | $5,397.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,002.00 / $15,131.00 / $16,269.00
| Facility | | $2,002.00 | $15,131.00 | $16,269.00 |