- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $916.82 / $1,412.75 / $6,953.60
| Facility | | $916.82 | $1,412.75 | $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
- $878.47 / $1,095.11 / $1,687.14
| Facility | | $878.47 | $1,095.11 | $1,687.14 |
- 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 / $6,945.52 / $8,397.04
| Facility | | $55.00 | $6,945.52 | $8,397.04 |