- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,082.00 / $3,660.00 / $11,169.00
| Facility | | $1,082.00 | $3,660.00 | $11,169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,588.02 / $1,637.65 / $1,733.60
| Facility | | $1,588.02 | $1,637.65 | $1,733.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,275.00 / $3,500.00 / $7,095.00
| Facility | | $1,275.00 | $3,500.00 | $7,095.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.00 / $490.00 / $10,000.00
| Facility | | $400.00 | $490.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $399.00 / $475.00 / $1,273.00
| Facility | | $399.00 | $475.00 | $1,273.00 |