- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.00 / $2,311.00 / $6,681.00
| Facility | | $1,061.00 | $2,311.00 | $6,681.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,852.00 / $5,269.00 / $9,272.00
| Facility | | $1,852.00 | $5,269.00 | $9,272.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $3,671.00 / $6,607.81
| Facility | | $500.00 | $3,671.00 | $6,607.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $16,547.20 / $16,547.20
| Facility | | $55.00 | $16,547.20 | $16,547.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,001.00 / $3,351.00 / $6,285.00
| Facility | | $1,001.00 | $3,351.00 | $6,285.00 |