- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $245.47 / $2,454.71
| Facility | | $245.47 | $245.47 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $19,498.45 / $42,657.95
| Facility | | $8,128.31 | $19,498.45 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $812.83 / $1,949.84
| Facility | | $575.44 | $812.83 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $776.25 / $1,548.82
| Facility | | $630.96 | $776.25 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $630.96 / $10,000.00
| Facility | | $354.81 | $630.96 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $6,025.60 / $20,892.96
| Facility | | $3,019.95 | $6,025.60 | $20,892.96 |