- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $237.44 / $356.39 / $10,647.00
| Facility | | $237.44 | $356.39 | $10,647.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,222.60 / $4,815.76 / $11,253.00
| Facility | | $2,222.60 | $4,815.76 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.97 / $315.33 / $363.76
| Facility | | $230.97 | $315.33 | $363.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $278.17 / $278.17 / $278.17
| Facility | | $278.17 | $278.17 | $278.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $4,298.00 / $30,001.00
| Facility | | $599.00 | $4,298.00 | $30,001.00 |