- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,325.29 / $1,615.00 / $6,953.60
| Facility | | $1,325.29 | $1,615.00 | $6,953.60 |
- 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
- $1,325.29 / $1,757.00 / $2,689.00
| Facility | | $1,325.29 | $1,757.00 | $2,689.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,208.00 / $9,324.00
| Facility | | $773.00 | $1,208.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $13,748.79 / $16,929.77
| Facility | | $55.00 | $13,748.79 | $16,929.77 |