- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,610.73 / $7,858.20 / $9,244.79
| Facility | | $1,610.73 | $7,858.20 | $9,244.79 |
- 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
- $1,610.73 / $1,932.88 / $2,975.98
| Facility | | $1,610.73 | $1,932.88 | $2,975.98 |
- 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 / $12,195.36 / $14,731.36
| Facility | | $55.00 | $12,195.36 | $14,731.36 |