- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,463.47 / $2,344.82 / $12,247.00
| Facility | | $1,463.47 | $2,344.82 | $12,247.00 |
- 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
- $1,387.58 / $1,756.16 / $2,706.93
| Facility | | $1,387.58 | $1,756.16 | $2,706.93 |
- 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 / $11,120.56 / $13,430.08
| Facility | | $55.00 | $11,120.56 | $13,430.08 |