- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $955.76 / $1,481.03 / $6,953.60
| Facility | | $955.76 | $1,481.03 | $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
- $955.76 / $1,146.91 / $1,772.78
| Facility | | $955.76 | $1,146.91 | $1,772.78 |
- 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 / $7,271.12 / $8,794.56
| Facility | | $55.00 | $7,271.12 | $8,794.56 |