- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,236.24 / $1,969.28 / $11,124.00
| Facility | | $1,236.24 | $1,969.28 | $11,124.00 |
- 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
- $1,236.24 / $1,535.80 / $2,277.39
| Facility | | $1,236.24 | $1,535.80 | $2,277.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.00 / $1,172.00 / $4,945.00
| Facility | | $309.00 | $1,172.00 | $4,945.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,413.00 / $9,363.20 / $11,314.16
| Facility | | $5,413.00 | $9,363.20 | $11,314.16 |