- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $10,000.00 / $30,199.52
| Facility | | $549.54 | $10,000.00 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $10,715.19 / $19,498.45
| Facility | | $3,981.07 | $10,715.19 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $707.95 / $4,677.35
| Facility | | $707.95 | $707.95 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $602.56 / $1,023.29
| Facility | | $436.52 | $602.56 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,417.38 / $25,703.96
| Facility | | $8,709.64 | $20,417.38 | $25,703.96 |