- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $3,372.14 / $6,953.60
| Facility | | $1,615.00 | $3,372.14 | $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
- $3,190.21 / $4,046.57 / $6,200.97
| Facility | | $3,190.21 | $4,046.57 | $6,200.97 |
- 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 / $44,591.26 / $53,765.74
| Facility | | $55.00 | $44,591.26 | $53,765.74 |