- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.16 / $271.14 / $39,782.44
| Facility | | $81.16 | $271.14 | $39,782.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,084.00 / $4,426.00 / $19,117.00
| Facility | | $2,084.00 | $4,426.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.79 / $93.35 / $115.55
| Facility | | $77.79 | $93.35 | $115.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $444.00 / $979.00 / $3,218.00
| Facility | | $444.00 | $979.00 | $3,218.00 |