- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $774.43 / $1,194.39 / $6,953.60
| Facility | | $774.43 | $1,194.39 | $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
- $755.00 / $929.32 / $1,423.65
| Facility | | $755.00 | $929.32 | $1,423.65 |
- 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 / $5,896.16 / $7,138.08
| Facility | | $55.00 | $5,896.16 | $7,138.08 |