- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.47 / $2,406.42 / $11,155.00
| Facility | | $1,462.47 | $2,406.42 | $11,155.00 |
- 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
- $1,482.94 / $1,927.82 / $2,687.11
| Facility | | $1,482.94 | $1,927.82 | $2,687.11 |
- 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
- $2,800.00 / $9,761.36 / $11,939.83
| Facility | | $2,800.00 | $9,761.36 | $11,939.83 |