- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,525.00 / $8,989.00
| Facility | | $1,000.00 | $1,525.00 | $8,989.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $1,550.00 / $1,550.00
| Facility | | $1,550.00 | $1,550.00 | $1,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $1,350.00 / $2,870.00
| Facility | | $1,100.00 | $1,350.00 | $2,870.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,782.50 / $1,782.50 / $1,782.50
| Facility | | $1,782.50 | $1,782.50 | $1,782.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $532.00 / $808.00 / $1,608.00
| Facility | | $532.00 | $808.00 | $1,608.00 |