- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,038.54 / $10,087.00 / $21,243.14
| Facility | | $1,038.54 | $10,087.00 | $21,243.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $852.10 / $35,600.00
| Facility | | $0.71 | $852.10 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,009.57 / $1,286.40 / $1,909.55
| Facility | | $1,009.57 | $1,286.40 | $1,909.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,717.00 / $2,500.00 / $19,386.00
| Facility | | $1,717.00 | $2,500.00 | $19,386.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,915.36 / $10,160.00 / $22,189.40
| Facility | | $7,915.36 | $10,160.00 | $22,189.40 |