- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,623.41 / $12,302.69
| Facility | | $1,000.00 | $5,623.41 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $6,918.31 / $7,244.36
| Facility | | $1,047.13 | $6,918.31 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,122.02 / $3,981.07
| Facility | | $1,122.02 | $1,122.02 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $501.19 / $10,964.78
| Facility | | $354.81 | $501.19 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $4,365.16 / $8,912.51
| Facility | | $1,949.84 | $4,365.16 | $8,912.51 |