- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,426.18 / $1,615.00 / $6,953.60
| Facility | | $1,426.18 | $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
- $1,385.57 / $1,741.45 / $2,635.03
| Facility | | $1,385.57 | $1,741.45 | $2,635.03 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $316.80 / $356.47 / $527.01
| Facility | 80 | $316.80 | $356.47 | $527.01 |
- 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 / $10,825.28 / $13,081.76
| Facility | | $55.00 | $10,825.28 | $13,081.76 |