- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $3,033.97 / $10,924.00
| Facility | | $1,615.00 | $3,033.97 | $10,924.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,901.00 / $2,542.28 / $3,940.07
| Facility | | $1,901.00 | $2,542.28 | $3,940.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795.00 / $2,353.00 / $9,194.00
| Facility | | $795.00 | $2,353.00 | $9,194.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $21,754.37 / $26,941.97
| Facility | | $55.00 | $21,754.37 | $26,941.97 |