- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,095.00 / $7,838.38
| Facility | | $1,000.00 | $2,095.00 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,642.88 / $5,688.84 / $8,827.71
| Facility | | $1,642.88 | $5,688.84 | $8,827.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.00 / $1,300.00 / $1,300.00
| Facility | | $1,300.00 | $1,300.00 | $1,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $592.13 / $832.05 / $1,300.00
| Facility | | $592.13 | $832.05 | $1,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $639.00 / $5,971.00 / $8,422.00
| Facility | | $639.00 | $5,971.00 | $8,422.00 |