- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,092.93 / $1,615.00 / $6,953.60
| Facility | | $1,092.93 | $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
- $1,055.79 / $1,346.12 / $1,997.05
| Facility | | $1,055.79 | $1,346.12 | $1,997.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,717.00 / $2,500.00 / $18,665.00
| Facility | | $1,717.00 | $2,500.00 | $18,665.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $8,207.20 / $10,077.20
| Facility | | $55.00 | $8,207.20 | $10,077.20 |