- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,115.53 / $5,835.49 / $10,229.70
| Facility | | $1,115.53 | $5,835.49 | $10,229.70 |
- 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
- $1,063.27 / $1,338.64 / $2,009.82
| Facility | | $1,063.27 | $1,338.64 | $2,009.82 |
- 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 / $8,460.40 / $10,243.68
| Facility | | $55.00 | $8,460.40 | $10,243.68 |