- 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
- $2,748.70 / $9,518.03 / $15,155.08
| Facility | | $2,748.70 | $9,518.03 | $15,155.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.78 / $973.78 / $1,996.40
| Facility | | $973.78 | $973.78 | $1,996.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.94 / $1,080.58 / $1,317.64
| Facility | | $816.94 | $1,080.58 | $1,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.00 / $9,127.00 / $10,150.00
| Facility | | $1,230.00 | $9,127.00 | $10,150.00 |