- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,889.54 / $7,968.00 / $15,013.59
| Facility | | $1,889.54 | $7,968.00 | $15,013.59 |
- 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
- $1,620.00 / $2,225.16 / $3,393.27
| Facility | | $1,620.00 | $2,225.16 | $3,393.27 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $324.00 / $458.84 / $698.32
| Facility | 80 | $324.00 | $458.84 | $698.32 |
- 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 / $14,331.04 / $17,302.16
| Facility | | $55.00 | $14,331.04 | $17,302.16 |