- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $3,135.91 / $11,270.00
| Facility | | $1,615.00 | $3,135.91 | $11,270.00 |
- 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
- $1,920.78 / $2,381.69 / $3,581.88
| Facility | | $1,920.78 | $2,381.69 | $3,581.88 |
- 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
- $10,160.00 / $14,892.24 / $18,261.75
| Facility | | $10,160.00 | $14,892.24 | $18,261.75 |