- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,053.85 / $1,615.00 / $6,953.60
| Facility | | $1,053.85 | $1,615.00 | $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
- $1,003.14 / $1,324.12 / $1,937.30
| Facility | | $1,003.14 | $1,324.12 | $1,937.30 |
- 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 / $7,965.20 / $9,655.52
| Facility | | $55.00 | $7,965.20 | $9,655.52 |