- 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
- $803.12 / $1,979.15 / $3,227.73
| Facility | | $803.12 | $1,979.15 | $3,227.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.52 / $121.52 / $596.36
| Facility | | $121.52 | $121.52 | $596.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.33 / $118.51 / $161.33
| Facility | | $98.33 | $118.51 | $161.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.00 / $3,085.00 / $5,060.00
| Facility | | $755.00 | $3,085.00 | $5,060.00 |