- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $2,492.69 / $6,953.60
| Facility | | $1,615.00 | $2,492.69 | $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
- $1,828.00 / $2,383.35 / $4,237.57
| Facility | | $1,828.00 | $2,383.35 | $4,237.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.00 / $661.00 / $4,877.00
| Facility | | $301.00 | $661.00 | $4,877.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $37,838.40 / $45,710.56
| Facility | | $55.00 | $37,838.40 | $45,710.56 |