- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $986.69 / $1,615.00 / $10,561.00
| Facility | | $986.69 | $1,615.00 | $10,561.00 |
- 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
- $986.69 / $1,184.03 / $1,829.21
| Facility | | $986.69 | $1,184.03 | $1,829.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,500.00 / $11,964.00
| Facility | | $1,000.00 | $3,500.00 | $11,964.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $7,432.16 / $9,081.92
| Facility | | $55.00 | $7,432.16 | $9,081.92 |