- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $4,073.80 / $14,454.40
| Facility | | $1,000.00 | $4,073.80 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $15,848.93 / $33,113.11
| Facility | | $8,912.51 | $15,848.93 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $501.19
| Facility | | $501.19 | $501.19 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $34,673.69
| Facility | | $54.95 | $56.23 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,000.00 / $5,754.40
| Facility | | $549.54 | $1,000.00 | $5,754.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $707.95 / $1,258.93
| Facility | | $512.86 | $707.95 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $10,964.78 / $23,442.29
| Facility | | $4,570.88 | $10,964.78 | $23,442.29 |