- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.42 / $338.42 / $11,009.00
| Facility | | $338.42 | $338.42 | $11,009.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.13 / $45,720.71 / $103,289.49
| Facility | | $1,550.13 | $45,720.71 | $103,289.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $750.46 / $1,064.24 / $2,560.17
| Facility | | $750.46 | $1,064.24 | $2,560.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $610.07 / $972.97 / $2,015.89
| Facility | | $610.07 | $972.97 | $2,015.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.10 / $694.01 / $73,646.03
| Facility | | $534.10 | $694.01 | $73,646.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,155.00 / $17,909.00 / $51,233.00
| Facility | | $14,155.00 | $17,909.00 | $51,233.00 |