- 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
- $3,108.39 / $10,763.53 / $17,138.21
| Facility | | $3,108.39 | $10,763.53 | $17,138.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.60 / $506.60 / $5,800.23
| Facility | | $506.60 | $506.60 | $5,800.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $429.07 / $594.27 / $769.94
| Facility | | $429.07 | $594.27 | $769.94 |
- 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 |